Idaho Foot Surgery Center Pc

LBN: Idaho Foot Surgery Center Pc
Idaho Foot Surgery Center Pc is an health care organization with primary practice located at 1540 Elk Creek Dr. , Idaho Falls ID 83404. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Idaho Foot Surgery Center Pc can be contacted via phone (208) 529-8393, or through Tolman, Bruce G via phone (208) 529-8393.

Contact Information

Primary practice address
1540 Elk Creek Dr. Idaho Falls ID 83404
Phone: (208) 529-8393
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tolman, Bruce G Doctor of Podiatric Medicine (DPM)
Phone: (208) 529-8393

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 1870101 Idaho

Profile Details

NPI number 1497768626
LBN Legal business name Idaho Foot Surgery Center Pc
DBA Doing business as
Authorized official Tolman, Bruce G Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Jun 19th, 2008 - about 18 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 1497768626 NPPES
Idaho MEDICAID 002512000

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