Portneuf Medical Practices

LBN: Phs Md #1, Llc
Portneuf Medical Practices is an health care organization with primary practice located at 651 Memorial Dr , Pocatello ID 83201-4071. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Phs Md #1, Llc can be contacted via phone (208) 239-2110, or through Abreu, John via phone (208) 239-2110.

Contact Information

Primary practice address
651 Memorial Dr Pocatello ID 83201-4071
Phone: (208) 239-2110
Fax: (208) 239-2145
Website:
Map and Directions
Authorized official contact:
Name: Abreu, John
Phone: (208) 239-2110

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Idaho

Profile Details

NPI number 1124355813
LBN Legal business name Phs Md #1, Llc
DBA Doing business as Portneuf Medical Practices
Authorized official Abreu, John
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 17th, 2009
Last updated Mar 2nd, 2010 - about 14 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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