Mini-Cassia Surgical Pc

LBN: Mini-Cassia Surgical Pc
Mini-Cassia Surgical Pc is an health care organization with primary practice located at 1218 9Th St Ste 10, Rupert ID 83350-2207. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mini-Cassia Surgical Pc can be contacted via phone (208) 436-8340, or through Johnson, Daclynn Scott via phone (208) 436-8340.

Contact Information

Primary practice address
1218 9Th St Ste 10 Rupert ID 83350-2207
Phone: (208) 436-8340
Fax: (208) 436-3956
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Daclynn Scott Doctor of Medicine (MD)
Phone: (208) 436-8340

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M7497 Idaho

Profile Details

NPI number 1457656217
LBN Legal business name Mini-Cassia Surgical Pc
DBA Doing business as
Authorized official Johnson, Daclynn Scott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2011
Last updated Jan 25th, 2011 - about 15 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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