County Of Elmor Consolidated Class A 192

LBN: County Of Elmor Consolidated Class A 192
County Of Elmor Consolidated Class A 192 is an health care organization with primary practice located at 800 Old Hwy 30 , Glenns Ferry ID 83623. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. County Of Elmor Consolidated Class A 192 can be contacted via phone (208) 366-7434, or through Levesque, Todd Kenneth via phone (208) 922-3093.

Contact Information

Primary practice address
800 Old Hwy 30 Glenns Ferry ID 83623
Phone: (208) 366-7434
Fax: (208) 366-7455
Website:
Map and Directions
Authorized official contact:
Name: Levesque, Todd Kenneth
Phone: (208) 922-3093

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X Idaho

Profile Details

NPI number 1629114939
LBN Legal business name County Of Elmor Consolidated Class A 192
DBA Doing business as
Authorized official Levesque, Todd Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 7th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629114939 NPPES
Idaho MEDICAID 807239500

Popular Providers