Pearl Health Clinic

LBN: Pearl Health Clinic
Pearl Health Clinic is an health care organization with primary practice located at 2705 E 17Th St , Ammon ID 83406-6601. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Pearl Health Clinic can be contacted via phone (208) 346-7500, or through Naifeh, Audrey via phone (208) 346-7500.

Contact Information

Primary practice address
2705 E 17Th St Ammon ID 83406-6601
Phone: (208) 346-7500
Fax: (208) 346-7501
Website:
Map and Directions
Authorized official contact:
Name: Naifeh, Audrey
Phone: (208) 346-7500

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1447426465
LBN Legal business name Pearl Health Clinic
DBA Doing business as
Authorized official Naifeh, Audrey
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Oct 16th, 2023 - about 3 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 1447426465 NPPES
Idaho MEDICAID 1447426465

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