Meridian Physical Medicine

LBN: Meridian Physical Medicine
Meridian Physical Medicine is an health care organization with primary practice located at 2016 S Eagle Rd Suite B, Meridian ID 83642-6707. 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. Meridian Physical Medicine can be contacted via phone (208) 887-6810, or through Runyan, Makayla via phone (208) 887-6810.

Contact Information

Primary practice address
2016 S Eagle Rd Suite B Meridian ID 83642-6707
Phone: (208) 887-6810
Fax: (208) 887-6797
Website:
Map and Directions
Authorized official contact:
Name: Runyan, Makayla
Phone: (208) 887-6810

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-1345A Idaho

Profile Details

NPI number 1881144780
LBN Legal business name Meridian Physical Medicine
DBA Doing business as
Authorized official Runyan, Makayla
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2016
Last updated Oct 4th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881144780 NPPES
Idaho Other 1790053338 NPI

Popular Providers