Active Family Healthcare Pllc

LBN: Active Family Healthcare Pllc
Active Family Healthcare Pllc is an health care organization with primary practice located at 919 W Canfield Ave , Coeur D Alene ID 83815-9764. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Active Family Healthcare Pllc can be contacted via phone (208) 758-0560, or through Fletcher, Jennifer via phone (208) 758-0560.

Contact Information

Primary practice address
919 W Canfield Ave Coeur D Alene ID 83815-9764
Phone: (208) 758-0560
Fax: (208) 762-5424
Website:
Map and Directions
Authorized official contact:
Name: Fletcher, Jennifer Nurse Practitioner (NP)
Phone: (208) 758-0560

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1063764462
LBN Legal business name Active Family Healthcare Pllc
DBA Doing business as
Authorized official Fletcher, Jennifer Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2012
Last updated Aug 26th, 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.

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