Idaho Gastroenterology Associates, Llp

LBN: Idaho Gastroenterology Associates, Llp
Idaho Gastroenterology Associates, Llp is an health care organization with primary practice located at 425 W Bannock St , Boise ID 83702-6035. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Idaho Gastroenterology Associates, Llp can be contacted via phone (208) 343-1702, or through Butterfield, Rebecca via phone (208) 489-1431.

Contact Information

Primary practice address
425 W Bannock St Boise ID 83702-6035
Fax: (208) 342-7042
Website:
Authorized official contact:
Name: Butterfield, Rebecca

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1265427256
LBN Legal business name Idaho Gastroenterology Associates, Llp
DBA Doing business as
Authorized official Butterfield, Rebecca
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2005
Last updated Feb 12th, 2024 - about last year

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 1265427256 NPPES
Idaho MEDICAID 002799000

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