St Josephs Ear Nose And Throat Clinic Pllc

LBN: St Josephs Ear Nose And Throat Clinic Pllc
St Josephs Ear Nose And Throat Clinic Pllc is an health care organization with primary practice located at 849 N Syringa St , Post Falls ID 83854-8794. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. St Josephs Ear Nose And Throat Clinic Pllc can be contacted via phone (208) 777-1320, or through Detar, Thomas R via phone (208) 777-1320.

Contact Information

Primary practice address
849 N Syringa St Post Falls ID 83854-8794
Phone: (208) 777-1320
Fax: (208) 777-1322
Website:
Map and Directions
Authorized official contact:
Name: Detar, Thomas R M.D., F.A.C.S.
Phone: (208) 777-1320

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1952355539
LBN Legal business name St Josephs Ear Nose And Throat Clinic Pllc
DBA Doing business as
Authorized official Detar, Thomas R M.D., F.A.C.S.
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Feb 6th, 2024 - about last year

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 1952355539 NPPES
Idaho Other 151513 WASHINGTON L&I
Idaho Other 0000100006619 WASHINGTON L&I
Idaho MEDICAID 7087273 WASHINGTON L&I
Idaho Other 8938054 WASHINGTON L&I
Idaho MEDICAID 805084300 WASHINGTON L&I
Idaho Other 8M012 WASHINGTON L&I

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