Specialty Clinic

LBN: Memorial Hospital
Specialty Clinic is an health care organization with primary practice located at 645 E 5Th St , Weiser ID 83672-2202. 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. Memorial Hospital can be contacted via phone (208) 549-3152, or through Johnson, Wade via phone (208) 549-3152.

Contact Information

Primary practice address
645 E 5Th St Weiser ID 83672-2202
Phone: (208) 549-3152
Fax: (208) 549-3153
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Wade
Phone: (208) 549-3152

Health care specialties

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

Profile Details

NPI number 1801095492
LBN Legal business name Memorial Hospital
DBA Doing business as Specialty Clinic
Authorized official Johnson, Wade
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2007
Last updated Aug 8th, 2007 - about 19 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 1801095492 NPPES
Idaho Other 1881722171 NPI

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