<Unavail>
LBN: Idaho Physician Services Inc.
<Unavail> is an health care organization with primary practice located at 3200 Channing Way Ste A205 , Idaho Falls ID 83404-7586. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Idaho Physician Services Inc. can be contacted via phone (208) 535-4580, or through Joseph, Louis via phone (615) 373-7630.
Contact Information
Primary practice address
3200 Channing Way Ste A205
Idaho Falls ID 83404-7586
Phone: (208) 535-4580
Fax: (208) 535-4520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X |
Profile Details
| NPI number | 1902841893 |
|---|---|
| LBN Legal business name | Idaho Physician Services Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Joseph, Louis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jan 2nd, 2023 - about 3 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 | 1902841893 | NPPES |
| Idaho | Other | 000010154957 | BLUE SHIELD |
| Idaho | MEDICAID | 1902841893 | BLUE SHIELD |
| Idaho | MEDICAID | 1902841893 | BLUE SHIELD |
| Idaho | MEDICAID | 807418100 | BLUE SHIELD |
| Idaho | Other | 8M826 | BLUE SHIELD |
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