Club Inc

LBN: Club Inc
Club Inc is an health care organization with primary practice located at 2001 S Woodruff Suite 6, Idaho Falls ID 83404. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Club Inc can be contacted via phone (208) 529-4673, or through Criddle, Kristee via phone (208) 241-1377.

Contact Information

Primary practice address
2001 S Woodruff Suite 6 Idaho Falls ID 83404
Phone: (208) 529-4673
Fax: (208) 529-4676
Website:
Map and Directions
Authorized official contact:
Name: Criddle, Kristee
Phone: (208) 241-1377

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X LMSW-30202 Idaho

Profile Details

NPI number 1871915694
LBN Legal business name Club Inc
DBA Doing business as
Authorized official Criddle, Kristee
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2014
Last updated Jan 14th, 2014 - about 12 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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