Glenns Ferry Health Center, Inc.

LBN: Glenns Ferry Health Center, Inc.
Glenns Ferry Health Center, Inc. is an health care organization with primary practice located at 486 W 1St Ave , Glenns Ferry ID 83623-2701. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Glenns Ferry Health Center, Inc. can be contacted via phone (208) 366-7416, or through Ferguson, Mary Ann via phone (208) 696-7216.

Contact Information

Primary practice address
486 W 1St Ave Glenns Ferry ID 83623-2701
Phone: (208) 366-7416
Fax: (208) 587-3324
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, Mary Ann
Phone: (208) 696-7216

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Idaho

Profile Details

NPI number 1376673137
LBN Legal business name Glenns Ferry Health Center, Inc.
DBA Doing business as
Authorized official Ferguson, Mary Ann
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated May 14th, 2024 - about 2 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 1376673137 NPPES
Idaho MEDICAID 002550500
Idaho MEDICAID 002550200

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