Humphreys Diabetes Center Inc

LBN: St Luke'S Humphreys Diabetes Center Inc
Humphreys Diabetes Center Inc is an health care organization with primary practice located at 1226 W River St , Boise ID 83702-7049. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Suppliers / Durable Medical Equipment & Medical Supplies. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. St Luke'S Humphreys Diabetes Center Inc can be contacted via phone (208) 331-1155, or through Scanlon, Robert via phone (208) 331-1155.

Contact Information

Primary practice address
1226 W River St Boise ID 83702-7049
Phone: (208) 331-1155
Fax: (208) 383-0190
Website:
Map and Directions
Authorized official contact:
Name: Scanlon, Robert
Phone: (208) 331-1155

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 4366980001 Idaho

Profile Details

NPI number 1306984729
LBN Legal business name St Luke'S Humphreys Diabetes Center Inc
DBA Doing business as Humphreys Diabetes Center Inc
Authorized official Scanlon, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 28th, 2011 - about 14 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 1306984729 NPPES
Idaho Other 000010170136 REGENCE WALTERS
Idaho MEDICAID 807850000 REGENCE WALTERS
Idaho MEDICAID 806348400 REGENCE WALTERS
Idaho Other 8G502 REGENCE WALTERS
Idaho Other 000010013347 REGENCE WALTERS

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