Sleep Disorder Center Of Eastern Idaho, Inc.

LBN: Sleep Disorder Center Of Eastern Idaho, Inc.
Sleep Disorder Center Of Eastern Idaho, Inc. is an health care organization with primary practice located at 2001 S Woodruff Ste 11, Idaho Falls ID 83404. The organization recently has only one registered license in Ambulatory Health Care Facilities / Sleep Disorder Diagnostic, which is considered as the primary health care specialty. Sleep Disorder Center Of Eastern Idaho, Inc. can be contacted via phone (208) 524-8044, or through Jackson, Sandra M via phone (208) 524-8044.

Contact Information

Primary practice address
2001 S Woodruff Ste 11 Idaho Falls ID 83404
Phone: (208) 524-8044
Fax: (208) 525-8896
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Sandra M POLYSOMNOGRAPHIST
Phone: (208) 524-8044

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X

Profile Details

NPI number 1427100270
LBN Legal business name Sleep Disorder Center Of Eastern Idaho, Inc.
DBA Doing business as
Authorized official Jackson, Sandra M POLYSOMNOGRAPHIST
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Dec 18th, 2008 - about 16 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 1427100270 NPPES
Other 8A646 BLUE CROSS
Other 000010001762 BLUE CROSS
MEDICAID 805240900 BLUE CROSS

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