Clarvida

LBN: Pathways Of Idaho, Llc
Clarvida is an health care organization with primary practice located at 545 N Benjamin Ln Ste 185 , Boise ID 83704-9625. The organization recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as the primary health care specialty. Pathways Of Idaho, Llc can be contacted via phone (208) 322-1026, or through Bowen, Lindsey via phone (208) 856-0466.

Contact Information

Primary practice address
545 N Benjamin Ln Ste 185 Boise ID 83704-9625
Fax: (208) 322-1029
Website:
Authorized official contact:
Name: Bowen, Lindsey

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1285347898
LBN Legal business name Pathways Of Idaho, Llc
DBA Doing business as Clarvida
Authorized official Bowen, Lindsey
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2022
Last updated Jun 20th, 2024 - about last year

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 1285347898 NPPES
Idaho Other 20004720 MEDICIAD
Idaho Other ID05400 MEDICIAD

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