Whitewater Woodriver Oral Surgery

LBN: Whitewater Woodriver Oral Surgery
Whitewater Woodriver Oral Surgery is an health care organization with primary practice located at 400 S Main St Ste 202 , Hailey ID 83333-8856. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Whitewater Woodriver Oral Surgery can be contacted via phone (208) 788-5308, or through Berry, Marie E via phone (208) 788-5308.

Contact Information

Primary practice address
400 S Main St Ste 202 Hailey ID 83333-8856
Phone: (208) 788-5308
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berry, Marie E
Phone: (208) 788-5308

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X

Profile Details

NPI number 1790202810
LBN Legal business name Whitewater Woodriver Oral Surgery
DBA Doing business as
Authorized official Berry, Marie E
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2017
Last updated Jul 21st, 2022 - about 2 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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