Idaho Urologic Institute Pa
LBN: Idaho Urologic Institute Pa
Idaho Urologic Institute Pa is an health care organization with primary practice located at 2855 E Magic View Dr , Meridian ID 83642-6245. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty.
Idaho Urologic Institute Pa can be contacted via phone (208) 639-4900, or through Waldamann, Todd via phone (208) 343-7736.
Contact Information
Primary practice address
2855 E Magic View Dr
Meridian ID 83642-6245
Phone: (208) 639-4900
Fax: (208) 639-4939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X |
Profile Details
| NPI number | 1689620692 |
|---|---|
| LBN Legal business name | Idaho Urologic Institute Pa |
| DBA Doing business as | |
| Authorized official | Waldamann, Todd Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Feb 22nd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689620692 | NPPES |
| Idaho | MEDICAID | 807277400 | |
| Idaho | Other | 8M783 | |
| Idaho | Other | DD7372 | |
| Idaho | Other | 8M152 | |
| Idaho | Other | 000010006729 | |
| Idaho | Other | 000010152026 | |
| Idaho | Other | 8M879 | |
| Idaho | Other | 000010152026 |
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