Michael P Koelsch Md

LBN: Michael P Koelsch Md
Michael P Koelsch Md is an health care organization with primary practice located at 805 N 6Th E , Mountain Home ID 83647-2207. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Michael P Koelsch Md can be contacted via phone (208) 587-5880, or through Koelsch, Mary Lou via phone (208) 587-5880.

Contact Information

Primary practice address
805 N 6Th E Mountain Home ID 83647-2207
Phone: (208) 587-5880
Fax: (208) 587-7905
Website:
Map and Directions
Authorized official contact:
Name: Koelsch, Mary Lou
Phone: (208) 587-5880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M3819 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP382A Idaho

Profile Details

NPI number 1356475115
LBN Legal business name Michael P Koelsch Md
DBA Doing business as
Authorized official Koelsch, Mary Lou
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Sep 20th, 2013 - about 12 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 1356475115 NPPES
Idaho Other 8H732 BLUE CROSS GROUP
Idaho MEDICAID 805234300 BLUE CROSS GROUP

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