The Pediatric And Adolescent Center, Inc.

LBN: The Pediatric And Adolescent Center, Inc.
The Pediatric And Adolescent Center, Inc. is an health care organization with primary practice located at 6148 N Discovery Way Suite 100, Boise ID 83713-0201. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. The Pediatric And Adolescent Center, Inc. can be contacted via phone (208) 322-5437, or through Bourquard, William Sullivan via phone (208) 322-5437.

Contact Information

Primary practice address
6148 N Discovery Way Suite 100 Boise ID 83713-0201
Phone: (208) 322-5437
Fax: (208) 322-6013
Website:
Map and Directions
Authorized official contact:
Name: Bourquard, William Sullivan Doctor of Medicine (MD)
Phone: (208) 322-5437

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X M-5223 Idaho

Profile Details

NPI number 1144341637
LBN Legal business name The Pediatric And Adolescent Center, Inc.
DBA Doing business as
Authorized official Bourquard, William Sullivan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Aug 22nd, 2020 - about 5 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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