Urgent Care Of Jerome
LBN: Urgent Care Of Idaho, Llc
Urgent Care Of Jerome is an health care organization with primary practice located at 133 W Avenue A Suite B, Jerome ID 83338-2630. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Urgent Care Of Idaho, Llc can be contacted via phone (208) 324-2004, or through James, Kyle via phone (208) 678-6996.
Contact Information
Primary practice address
133 W Avenue A Suite B
Jerome ID 83338-2630
Phone: (208) 324-2004
Fax: (208) 324-1154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | O-154 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-9766 | Idaho |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | Idaho |
Profile Details
| NPI number | 1538578687 |
|---|---|
| LBN Legal business name | Urgent Care Of Idaho, Llc |
| DBA Doing business as | Urgent Care Of Jerome |
| Authorized official | James, Kyle |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2014 |
| Last updated | May 24th, 2022 - about 3 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 | 1538578687 | NPPES |
| Idaho | Other | 13D2082421 | CLIA |
| Idaho | MEDICAID | 1538578687 | CLIA |
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