Mountain West Spine Llc

LBN: Mountain West Spine Llc
Mountain West Spine Llc is an health care organization with primary practice located at 2960 E St Lukes St Ste 200 , Meridian ID 83642-3506. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is the primary health care specialty. Mountain West Spine Llc can be contacted via phone (208) 208-1234, or through Bradley, William via phone (208) 208-1234.

Contact Information

Primary practice address
2960 E St Lukes St Ste 200 Meridian ID 83642-3506
Phone: (208) 208-1234
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bradley, William Doctor of Medicine (MD)
Phone: (208) 208-1234

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1982462008
LBN Legal business name Mountain West Spine Llc
DBA Doing business as
Authorized official Bradley, William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2024
Last updated Jul 8th, 2024 - about 4 months 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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