Treasure Valley Cardiology Pc
LBN: Treasure Valley Cardiology Pc
Treasure Valley Cardiology Pc is an health care organization with primary practice located at 900 N Liberty St Suite 302, Boise ID 83704-8704. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Treasure Valley Cardiology Pc can be contacted via phone (208) 322-1686, or through Wetherley, Graham via phone (208) 322-1686.
Contact Information
Primary practice address
900 N Liberty St Suite 302
Boise ID 83704-8704
Phone: (208) 322-1686
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M5449 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP642A | Idaho |
Profile Details
| NPI number | 1184657389 |
|---|---|
| LBN Legal business name | Treasure Valley Cardiology Pc |
| DBA Doing business as | |
| Authorized official | Wetherley, Graham Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184657389 | NPPES |
| Idaho | MEDICAID | 002180300 | |
| Idaho | MEDICAID | 807805900 |
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