Easter Seals-Goodwill Northern Rocky Mountain, Inc.

LBN: Easter Seals-Goodwill Northern Rocky Mountain, Inc.
Easter Seals-Goodwill Northern Rocky Mountain, Inc. is an health care organization with primary practice located at 1465 S Vinnell Way , Boise ID 83709-1659. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Easter Seals-Goodwill Northern Rocky Mountain, Inc. can be contacted via phone (208) 378-9924, or through Dorr, Susan via phone (406) 771-3754.

Contact Information

Primary practice address
1465 S Vinnell Way Boise ID 83709-1659
Phone: (208) 378-9924
Fax: (208) 378-9965
Website:
Map and Directions
Authorized official contact:
Name: Dorr, Susan
Phone: (406) 771-3754

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1679699540
LBN Legal business name Easter Seals-Goodwill Northern Rocky Mountain, Inc.
DBA Doing business as
Authorized official Dorr, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 5th, 2018 - about 8 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 1679699540 NPPES
Idaho MEDICAID 806565700

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