Eagle Rock Medical Center Llc

LBN: Eagle Rock Medical Center Llc
Eagle Rock Medical Center Llc is an health care organization with primary practice located at 919 S Utah Ave , Idaho Falls ID 83402-3322. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Eagle Rock Medical Center Llc can be contacted via phone (208) 425-6020, or through Howard, Kendon via phone (208) 972-0420.

Contact Information

Primary practice address
919 S Utah Ave Idaho Falls ID 83402-3322
Phone: (208) 425-6020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Howard, Kendon
Phone: (208) 972-0420

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1083372890
LBN Legal business name Eagle Rock Medical Center Llc
DBA Doing business as
Authorized official Howard, Kendon
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2021
Last updated Mar 21st, 2022 - about 4 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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