Southeast Idaho Family Practice

LBN: Southeast Idaho Family Practice
Southeast Idaho Family Practice is an health care organization with primary practice located at 2775 Channing Way , Idaho Falls ID 83404-7510. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southeast Idaho Family Practice can be contacted via phone (208) 524-0133, or through Bates, Connie M via phone (208) 524-6694.

Contact Information

Primary practice address
2775 Channing Way Idaho Falls ID 83404-7510
Phone: (208) 524-0133
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bates, Connie M
Phone: (208) 524-6694

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Idaho

Profile Details

NPI number 1982759007
LBN Legal business name Southeast Idaho Family Practice
DBA Doing business as
Authorized official Bates, Connie M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Aug 22nd, 2020 - 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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