Pain Care Clinic Of Idaho, P.C.

LBN: Pain Care Clinic Of Idaho, P.C.
Pain Care Clinic Of Idaho, P.C. is an health care organization with primary practice located at 742 E State St Suite 150, Eagle ID 83616-5941. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Pain Care Clinic Of Idaho, P.C. can be contacted via phone (208) 939-3750, or through Boese, Edmund C via phone (208) 939-3750.

Contact Information

Primary practice address
742 E State St Suite 150 Eagle ID 83616-5941
Phone: (208) 939-3750
Fax: (208) 939-3754
Website:
Map and Directions
Authorized official contact:
Name: Boese, Edmund C Doctor of Medicine (MD)
Phone: (208) 939-3750

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X M12565 Idaho

Profile Details

NPI number 1982093357
LBN Legal business name Pain Care Clinic Of Idaho, P.C.
DBA Doing business as
Authorized official Boese, Edmund C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2015
Last updated Jan 22nd, 2015 - about 9 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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