Tennessee Phs Pc

LBN: Tennessee Phs Pc
Tennessee Phs Pc is an health care organization with primary practice located at 950 W. Bannock Street Suite 1100, Boise ID 83702-6140. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Tennessee Phs Pc can be contacted via phone (877) 260-4747, or through Howard, Nicole via phone (337) 991-9276.

Contact Information

Primary practice address
950 W. Bannock Street Suite 1100 Boise ID 83702-6140
Phone: (877) 260-4747
Fax: (901) 261-4867
Website:
Map and Directions
Authorized official contact:
Name: Howard, Nicole
Phone: (337) 991-9276

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1063786648
LBN Legal business name Tennessee Phs Pc
DBA Doing business as
Authorized official Howard, Nicole
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 29th, 2012
Last updated Jul 2nd, 2014 - about 10 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 1063786648 NPPES
Idaho MEDICAID 1063786648

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