Mountain Brace Systems

LBN: Kinghorn Medical Llc
Mountain Brace Systems is an health care organization with primary practice located at 248 S Cole Rd Bldg #7, Boise ID 83709-0934. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Kinghorn Medical Llc can be contacted via phone (208) 350-3092, or through Kinghorn, Jake Kent via phone (208) 350-3092.

Contact Information

Primary practice address
248 S Cole Rd Bldg #7 Boise ID 83709-0934
Phone: (208) 350-3092
Fax: (208) 901-8185
Website:
Map and Directions
Authorized official contact:
Name: Kinghorn, Jake Kent CO-F
Phone: (208) 350-3092

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1821436718
LBN Legal business name Kinghorn Medical Llc
DBA Doing business as Mountain Brace Systems
Authorized official Kinghorn, Jake Kent CO-F
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2013
Last updated Oct 4th, 2022 - about 4 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 1821436718 NPPES
Idaho MEDICAID IDTPID009228

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