Rencher Family Practice, Pa

LBN: Rencher Family Practice, Pa
Rencher Family Practice, Pa is an health care organization with primary practice located at 2610 Channing Way , Idaho Falls ID 83404-7517. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Rencher Family Practice, Pa can be contacted via phone (208) 523-0888, or through Rencher, Mark B via phone (208) 523-0888.

Contact Information

Primary practice address
2610 Channing Way Idaho Falls ID 83404-7517
Phone: (208) 523-0888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rencher, Mark B Doctor of Medicine (MD)
Phone: (208) 523-0888

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X M4486 Idaho

Profile Details

NPI number 1902048879
LBN Legal business name Rencher Family Practice, Pa
DBA Doing business as
Authorized official Rencher, Mark B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2009
Last updated Mar 24th, 2009 - about 15 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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