Advanced Home Med, Llc

LBN: Advanced Home Med, Llc
Advanced Home Med, Llc is an health care organization with primary practice located at 5624 N Government Way Ste 6, Dalton Gdns ID 83815-7350. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Advanced Home Med, Llc can be contacted via phone (208) 772-9111, or through Davis, Kami L via phone (208) 772-9111.

Contact Information

Primary practice address
5624 N Government Way Ste 6 Dalton Gdns ID 83815-7350
Fax: (208) 772-9114
Website:
Authorized official contact:
Name: Davis, Kami L

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X DME166 Idaho

Profile Details

NPI number 1992734859
LBN Legal business name Advanced Home Med, Llc
DBA Doing business as
Authorized official Davis, Kami L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Mar 2nd, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992734859 NPPES
Idaho Other 000010137820 REGENCE BS OF ID
Idaho MEDICAID 100502494 REGENCE BS OF ID
Idaho MEDICAID 806024600 REGENCE BS OF ID
Idaho Other CC8203 REGENCE BS OF ID
Idaho Other 8I227 REGENCE BS OF ID
Idaho MEDICAID 9054859 REGENCE BS OF ID

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