Mountain View Family Medicine, Inc

LBN: Mountain View Family Medicine, Inc
Mountain View Family Medicine, Inc is an health care organization with primary practice located at 2006 Birdie Thompson Dr , Pocatello ID 83201-2768. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mountain View Family Medicine, Inc can be contacted via phone (208) 232-1132, or through Burton, Bradley Mark via phone (208) 232-1132.

Contact Information

Primary practice address
2006 Birdie Thompson Dr Pocatello ID 83201-2768
Phone: (208) 232-1132
Fax: (208) 232-1134
Website:
Map and Directions
Authorized official contact:
Name: Burton, Bradley Mark Doctor of Medicine (MD)
Phone: (208) 232-1132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Idaho

Profile Details

NPI number 1053483669
LBN Legal business name Mountain View Family Medicine, Inc
DBA Doing business as
Authorized official Burton, Bradley Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053483669 NPPES
Idaho Other 1373873 MEDICARE
Idaho MEDICAID 86428200 MEDICARE

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