Mountain States Diabetes Relief, Llc

LBN: Mountain States Diabetes Relief, Llc
Mountain States Diabetes Relief, Llc is an health care organization with primary practice located at 4573 E Majestic , Idaho Falls ID 83406. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Mountain States Diabetes Relief, Llc can be contacted via phone (208) 520-2636, or through Davenport, Katie via phone (208) 520-2636.

Contact Information

Primary practice address
4573 E Majestic Idaho Falls ID 83406
Phone: (208) 520-2636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davenport, Katie
Phone: (208) 520-2636

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X

Profile Details

NPI number 1144783499
LBN Legal business name Mountain States Diabetes Relief, Llc
DBA Doing business as
Authorized official Davenport, Katie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2019
Last updated Apr 12th, 2019 - about 6 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

Popular Providers