Intermountain Anesthesia, Pa
LBN: Intermountain Anesthesia, Pa
Intermountain Anesthesia, Pa is an health care organization with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty.
Intermountain Anesthesia, Pa can be contacted via phone (208) 529-6269, or through Taylor, Jeffrey via phone (866) 487-0277.
Contact Information
Primary practice address
3100 Channing Way
Idaho Falls ID 83404-7533
Phone: (208) 529-6269
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X |
Profile Details
| NPI number | 1558304329 |
|---|---|
| LBN Legal business name | Intermountain Anesthesia, Pa |
| DBA Doing business as | |
| Authorized official | Taylor, Jeffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jul 23rd, 2019 - about 7 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 | 1558304329 | NPPES |
| Idaho | MEDICAID | 002712600 |
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