Idaho Sports Medicine Institute

LBN: Idaho Sports Medicine Institute
Idaho Sports Medicine Institute is an health care organization with primary practice located at 1188 W University Dr , Boise ID 83706-3009. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Idaho Sports Medicine Institute can be contacted via phone (208) 336-8250, or through Tweedle, Roy via phone (208) 336-8250.

Contact Information

Primary practice address
1188 W University Dr Boise ID 83706-3009
Phone: (208) 336-8250
Fax: (208) 345-9514
Website:
Map and Directions
Authorized official contact:
Name: Tweedle, Roy
Phone: (208) 336-8250

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT-1825 Idaho

Profile Details

NPI number 1700180445
LBN Legal business name Idaho Sports Medicine Institute
DBA Doing business as
Authorized official Tweedle, Roy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2011
Last updated Jan 10th, 2011 - about 15 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.

Request for update

Popular Providers