Unified Healthcare Of Idaho Llc

LBN: Unified Healthcare Of Idaho Llc
Unified Healthcare Of Idaho Llc is an health care organization with primary practice located at 2275 W Broadway St Ste G , Idaho Falls ID 83402-2902. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Unified Healthcare Of Idaho Llc can be contacted via phone (208) 529-3967, or through Tueller, Thomas via phone (208) 221-0007.

Contact Information

Primary practice address
2275 W Broadway St Ste G Idaho Falls ID 83402-2902
Phone: (208) 529-3967
Fax: (208) 522-0088
Website:
Map and Directions
Authorized official contact:
Name: Tueller, Thomas Licensed Clinical Social Worker (LCSW)
Phone: (208) 221-0007

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1588041537
LBN Legal business name Unified Healthcare Of Idaho Llc
DBA Doing business as
Authorized official Tueller, Thomas Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 29th, 2015
Last updated Jul 11th, 2016 - about 8 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 1588041537 NPPES
Idaho MEDICAID 847298396

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