Renaissance Ranch Heyburn

LBN: Renaissance Ranch Heyburn
Renaissance Ranch Heyburn is an health care organization with primary practice located at 312 S 950 W , Heyburn ID 83336-9765. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Renaissance Ranch Heyburn can be contacted via phone (855) 736-7262, or through Dixon, Tyson Blaine via phone (801) 860-0118.

Contact Information

Primary practice address
312 S 950 W Heyburn ID 83336-9765
Phone: (855) 736-7262
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Tyson Blaine
Phone: (801) 860-0118

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1114692373
LBN Legal business name Renaissance Ranch Heyburn
DBA Doing business as
Authorized official Dixon, Tyson Blaine
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2021
Last updated Aug 10th, 2021 - about 4 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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