Q17 Health Partners Llc

LBN: Q17 Health Partners Llc
Q17 Health Partners Llc is an health care organization with primary practice located at 100 East Idaho Street #317 , Boise ID 83712. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Q17 Health Partners Llc can be contacted via phone (208) 433-1736, or through Griffiths, Russell H via phone (208) 433-1736.

Contact Information

Primary practice address
100 East Idaho Street #317 Boise ID 83712
Phone: (208) 433-1736
Fax: (208) 433-1738
Website:
Map and Directions
Authorized official contact:
Name: Griffiths, Russell H Doctor of Medicine (MD)
Phone: (208) 433-1736

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1427523968
LBN Legal business name Q17 Health Partners Llc
DBA Doing business as
Authorized official Griffiths, Russell H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2018
Last updated Oct 17th, 2018 - about 8 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 1427523968 NPPES
Idaho MEDICAID 805132700

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