Jump Start Pediatrics

LBN: Jump Start Pediatrics
Jump Start Pediatrics is an health care organization with primary practice located at 411 W Haycraft Ave Ste D4 , Coeur D Alene ID 83815-8104. The organization recently has only one registered license in Agencies / Supports Brokerage, which is considered as the primary health care specialty. Jump Start Pediatrics can be contacted via phone (206) 664-2468, or through Fahey, Becca via phone (208) 664-2468.

Contact Information

Primary practice address
411 W Haycraft Ave Ste D4 Coeur D Alene ID 83815-8104
Phone: (206) 664-2468
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fahey, Becca
Phone: (208) 664-2468

Health care specialties

SpecialtyCodeLicense #State
Agencies / Supports Brokerage 251X00000X OT-1455 Idaho

Profile Details

NPI number 1881072817
LBN Legal business name Jump Start Pediatrics
DBA Doing business as
Authorized official Fahey, Becca
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2015
Last updated May 11th, 2015 - about 11 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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