Idahodhwbh3 Midlevel Group

LBN: Idahodhwbh3 Midlevel Group
Idahodhwbh3 Midlevel Group is an health care organization with primary practice located at 3402 Franklin Rd , Caldwell ID 83605-6932. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Idahodhwbh3 Midlevel Group can be contacted via phone (208) 459-0092, or through Hurt, Todd L via phone (208) 455-7057.

Contact Information

Primary practice address
3402 Franklin Rd Caldwell ID 83605-6932
Phone: (208) 459-0092
Fax: (208) 454-7714
Website:
Map and Directions
Authorized official contact:
Name: Hurt, Todd L M.S.
Phone: (208) 455-7057

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1972631265
LBN Legal business name Idahodhwbh3 Midlevel Group
DBA Doing business as
Authorized official Hurt, Todd L M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1972631265 NPPES
Idaho MEDICAID 8073346
Idaho Other 000010018824
Idaho Other HW348

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