Table Rock Mobile Medicine Pllc

LBN: Table Rock Mobile Medicine Pllc
Table Rock Mobile Medicine Pllc is an health care organization with primary practice located at 3090 E Gentry Way Ste 210 , Meridian ID 83642-3550. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Table Rock Mobile Medicine Pllc can be contacted via phone (986) 224-8420, or through Bigford, Bradley via phone (986) 224-8420.

Contact Information

Primary practice address
3090 E Gentry Way Ste 210 Meridian ID 83642-3550
Phone: (986) 224-8420
Fax: (844) 268-7286
Website:
Map and Directions
Authorized official contact:
Name: Bigford, Bradley MSN, NP-C
Phone: (986) 224-8420

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1252A Idaho

Profile Details

NPI number 1194186437
LBN Legal business name Table Rock Mobile Medicine Pllc
DBA Doing business as
Authorized official Bigford, Bradley MSN, NP-C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2016
Last updated May 11th, 2024 - about 6 months 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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