Idaho Physical Medicine And Rehabilitation Pa, NPI 1497949705
Ambulatory Surgical Clinic/Center in Meridian, ID, US
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 | 1497949705 |
| NPI Entity Type | Organization |
| Provider Name | Idaho Physical Medicine And Rehabilitation Pa |
| Subpart of Organization | Idaho Physicial Medicine And Rehabilitation |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 3551 E Overland Road, Meridian, ID, US |
| Provider Mailing Address | Po Box 1128, Boise, ID, US, 837011128 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Kate A Shelton |
| Official Position | ADMINISTRATOR |
| Phone | 208-287-6558 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Ambulatory Surgical Clinic/Center |
| Classification | |
| Group | |
| License State | ID |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 808002500 | ID | MEDICAID | 05 |
| P00612157 | ID | RAILROAD MEDICARE | 01 |
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