Heartland Pharmacy - Idaho Falls

LBN: Heartland Pharmacy - Idaho Falls
Heartland Pharmacy - Idaho Falls is an health care organization with primary practice located at 3250 E 17Th St , Ammon ID 83406-6758. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Heartland Pharmacy - Idaho Falls can be contacted via phone (208) 552-7677, or through Christensen, Reece via phone (208) 497-3575.

Contact Information

Primary practice address
3250 E 17Th St Ammon ID 83406-6758
Phone: (208) 552-7677
Fax: (208) 552-2103
Website:
Map and Directions
Authorized official contact:
Name: Christensen, Reece
Phone: (208) 497-3575

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1624LS Idaho

Profile Details

NPI number 1548423338
LBN Legal business name Heartland Pharmacy - Idaho Falls
DBA Doing business as
Authorized official Christensen, Reece
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2008
Last updated Nov 13th, 2020 - about 6 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 1548423338 NPPES
Idaho MEDICAID 806141400
Idaho MEDICAID 2038144
Idaho MEDICAID 1548423338
Idaho MEDICAID 0562258

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