Michael T Harris Md, Pc

LBN: Michael T Harris Md, Pc
Michael T Harris Md, Pc is an health care organization with primary practice located at 3422 S 15Th E , Idaho Falls ID 83404-8262. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Michael T Harris Md, Pc can be contacted via phone (208) 552-1222, or through Harris, Michael T via phone (208) 552-1222.

Contact Information

Primary practice address
3422 S 15Th E Idaho Falls ID 83404-8262
Phone: (208) 552-1222
Fax: (208) 552-3377
Website:
Map and Directions
Authorized official contact:
Name: Harris, Michael T Doctor of Medicine (MD)
Phone: (208) 552-1222

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X M 6846 Idaho

Profile Details

NPI number 1285621532
LBN Legal business name Michael T Harris Md, Pc
DBA Doing business as
Authorized official Harris, Michael T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Nov 22nd, 2008 - about 18 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 1285621532 NPPES
Idaho MEDICAID 003729200
Idaho Other 000010000013
Idaho Other 72793
Idaho Other P00077360

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