Deer Point Family Practice Pc

LBN: Deer Point Family Practice Pc
Deer Point Family Practice Pc is an health care organization with primary practice located at 6023 N Eagle Rd , Boise ID 83713-0997. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Deer Point Family Practice Pc can be contacted via phone (208) 322-7284, or through Tubbs, Gary A via phone (208) 322-7284.

Contact Information

Primary practice address
6023 N Eagle Rd Boise ID 83713-0997
Phone: (208) 322-7284
Fax: (208) 323-9070
Website:
Map and Directions
Authorized official contact:
Name: Tubbs, Gary A Doctor of Medicine (MD)
Phone: (208) 322-7284

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1134342264
LBN Legal business name Deer Point Family Practice Pc
DBA Doing business as
Authorized official Tubbs, Gary A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Dec 21st, 2011 - about 15 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 1134342264 NPPES
Idaho MEDICAID 002643400
Idaho Other 000010028455

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