Corbett Sousa, NPI 1417442484
Point of Service in Nampa, ID, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1417442484
NPI Entity Type Organization
Provider Name Corbett Sousa
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 16 12th Ave S Ste 208, Nampa, ID, US
Provider Mailing Address 16 12th Ave S Ste 208, Nampa, ID, US, 836513937
Is Sole Proprietor? No
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Organization Official

Official Name MRS. Katy Simmons
Official Position CREDENTIALING/BILLING
Phone 208-452-6580

Primary Taxonomy

Taxonomy Code

305S00000X

Taxonomy Name Point of Service
Classification

Point of Service

Group

Managed Care Organizations

License No. 37239
License State ID
Description This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Other Organization Name

Achieving Family Wellness LLC
Other Name

Business Address

Corbett Sousa
16 12th Ave S Ste 208

Nampa, ID, US

Phone: 208-649-6048
Fax: 208-906-2343

Mailing Address

Corbett Sousa
16 12th Ave S Ste 208
Nampa, ID, US
ZIP 836513937
Phone: 208-649-6048
Fax: 208-906-2343

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