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
Fax:
Website:
Authorized official contact:
Name: Sinclair, Pamela Ann

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063613495 NPPES
Idaho MEDICAID 0027370
Idaho MEDICAID 0027368
Idaho MEDICAID 002737000
Idaho MEDICAID 002736800

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