Snake River Ear, Nose & Throat Pc
LBN: Snake River Ear, Nose & Throat Pc
Snake River Ear, Nose & Throat Pc is an health care organization with primary practice located at 706 North College Road Suite C, Twin Falls ID 83301. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Snake River Ear, Nose & Throat Pc can be contacted via phone (208) 735-1000, or through Kack, Rod via phone (208) 735-1000.
Contact Information
Primary practice address
706 North College Road Suite C
Twin Falls ID 83301
Phone: (208) 735-1000
Fax: (208) 732-5345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A89785 | Idaho |
Profile Details
| NPI number | 1104912740 |
|---|---|
| LBN Legal business name | Snake River Ear, Nose & Throat Pc |
| DBA Doing business as | |
| Authorized official | Kack, Rod Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jan 15th, 2013 - about 11 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 | 1104912740 | NPPES |
| Idaho | MEDICAID | 805168100 |
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