Southern Idaho Pain Institute P.C.
LBN: Southern Idaho Pain Institute P.C.
Southern Idaho Pain Institute P.C. is an health care organization with primary practice located at 236 Martin St. , Twin Falls ID 83301. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Southern Idaho Pain Institute P.C. can be contacted via phone (208) 733-3181, or through Dille, Clinton L. via phone (208) 733-3181.
Contact Information
Primary practice address
236 Martin St.
Twin Falls ID 83301
Phone: (208) 733-3181
Fax: (208) 733-3168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | M7113 | Idaho |
Profile Details
| NPI number | 1336240670 |
|---|---|
| LBN Legal business name | Southern Idaho Pain Institute P.C. |
| DBA Doing business as | |
| Authorized official | Dille, Clinton L. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Feb 26th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336240670 | NPPES |
| Idaho | Other | 03384 | BLUE CROSS ASC# |
| Idaho | Other | 000010006663 | BLUE CROSS ASC# |
| Idaho | MEDICAID | 804229000 | BLUE CROSS ASC# |
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