Upper Valley Orthopedics, Pllc

LBN: Upper Valley Orthopedics, Pllc
Upper Valley Orthopedics, Pllc is an health care organization with primary practice located at 360 E Main St , Rexburg ID 83440-2015. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Upper Valley Orthopedics, Pllc can be contacted via phone (208) 356-9550, or through Larson, Michael J via phone (208) 356-9550.

Contact Information

Primary practice address
360 E Main St Rexburg ID 83440-2015
Phone: (208) 356-9550
Fax: (208) 356-8023
Website:
Map and Directions
Authorized official contact:
Name: Larson, Michael J Doctor of Medicine (MD)
Phone: (208) 356-9550

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M5158 Idaho

Profile Details

NPI number 1184799298
LBN Legal business name Upper Valley Orthopedics, Pllc
DBA Doing business as
Authorized official Larson, Michael J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Nov 19th, 2009 - about 17 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 1184799298 NPPES
Idaho MEDICAID 808017600

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