Prohealth
LBN: Prohealth
Prohealth is an health care organization with primary practice located at 936 E Center St , Pocatello ID 83201-5702. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Nursing Care, Pediatric. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty.
Prohealth can be contacted via phone (208) 235-6565, or through Sinclair, Pamela Ann via phone (208) 235-6565.
Contact Information
Primary practice address
936 E Center St
Pocatello ID 83201-5702
Phone: (208) 235-6565
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ||
Nursing & Custodial Care Facilities / Nursing Care, Pediatric | 3140N1450X |
Profile Details
NPI number | 1063613495 |
---|---|
LBN Legal business name | Prohealth |
DBA Doing business as | |
Authorized official | Sinclair, Pamela Ann |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 31st, 2007 |
Last updated | Apr 17th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063613495 | NPPES |
Idaho | MEDICAID | 0027370 | |
Idaho | MEDICAID | 0027368 | |
Idaho | MEDICAID | 002737000 | |
Idaho | MEDICAID | 002736800 |
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