<Unavail>

LBN: Lost River Wellness
<Unavail> is an health care organization with primary practice located at 3080 E Gentry Way Ste 100 , Meridian ID 83642-3060. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Lost River Wellness can be contacted via phone (208) 810-2318, or through Brown, Jeff via phone (208) 484-1447.

Contact Information

Primary practice address
3080 E Gentry Way Ste 100 Meridian ID 83642-3060
Phone: (208) 810-2318
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Jeff
Phone: (208) 484-1447

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X M11538 Idaho

Profile Details

NPI number 1497235469
LBN Legal business name Lost River Wellness
DBA Doing business as <Unavail>
Authorized official Brown, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2018
Last updated Nov 28th, 2018 - about 8 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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