Icrm Pc
LBN: Idaho Center For Reproductive Medicine Pc
Icrm Pc is an health care organization with primary practice located at 111 Main St Suite 100, Boise ID 83702-7307. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as the primary health care specialty.
Idaho Center For Reproductive Medicine Pc can be contacted via phone (208) 342-5900, or through Andrews, Genie T via phone (208) 342-5900.
Contact Information
Primary practice address
111 Main St Suite 100
Boise ID 83702-7307
Phone: (208) 342-5900
Fax: (208) 342-2088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | M7577 | Idaho |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | M8614 | Idaho |
Profile Details
| NPI number | 1063551174 |
|---|---|
| LBN Legal business name | Idaho Center For Reproductive Medicine Pc |
| DBA Doing business as | Icrm Pc |
| Authorized official | Andrews, Genie T |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063551174 | NPPES |
| Idaho | Other | 8G189 | BLUE CROSS CLINIC |
| Idaho | Other | 513CO | BLUE CROSS CLINIC |
| Idaho | Other | 51292 | BLUE CROSS CLINIC |
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