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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 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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