Idaho State University

LBN: Idaho State University
Idaho State University is an health care organization with primary practice located at 650 Memorial Drive # 68, Pocatello ID 83209-0001. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as the primary health care specialty. Idaho State University can be contacted via phone (208) 282-3495, or through Bishop, Randy L. via phone (208) 282-3495.

Contact Information

Primary practice address
650 Memorial Drive # 68 Pocatello ID 83209-0001
Phone: (208) 282-3495
Fax: (208) 282-4571
Website:
Map and Directions
Authorized official contact:
Name: Bishop, Randy L. M.S.
Phone: (208) 282-3495

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD1225 Idaho

Profile Details

NPI number 1578508081
LBN Legal business name Idaho State University
DBA Doing business as
Authorized official Bishop, Randy L. M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 22nd, 2020 - about 5 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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