Idaho State Veterans Home - Pocatello

LBN: Division Of Veterans Services
Idaho State Veterans Home - Pocatello is an health care organization with primary practice located at 1957 Alvin Ricken Dr , Pocatello ID 83201-2727. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Division Of Veterans Services can be contacted via phone (208) 236-6340, or through Brasuell, David via phone (208) 236-6340.

Contact Information

Primary practice address
1957 Alvin Ricken Dr Pocatello ID 83201-2727
Phone: (208) 236-6340
Fax: (208) 236-6343
Website:
Map and Directions
Authorized official contact:
Name: Brasuell, David
Phone: (208) 236-6340

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 92 Idaho

Profile Details

NPI number 1285624064
LBN Legal business name Division Of Veterans Services
DBA Doing business as Idaho State Veterans Home - Pocatello
Authorized official Brasuell, David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285624064 NPPES
Idaho Other 1307126 NCPDP
Idaho Other 995HP NCPDP
Idaho Other 92 NCPDP

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