<Unavail>

LBN: Ridgeline Medical Llc
<Unavail> is an health care organization with primary practice located at 2470 Jafer Ct , Idaho Falls ID 83404-5587. The organization recently has 5 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Ridgeline Medical Llc can be contacted via phone (208) 715-9990, or through Mangan, Martin via phone (208) 715-9990.

Contact Information

Primary practice address
2470 Jafer Ct Idaho Falls ID 83404-5587
Phone: (208) 715-9990
Fax: (208) 715-9992
Website:
Map and Directions
Authorized official contact:
Name: Mangan, Martin Doctor of Osteopathy (DO)
Phone: (208) 715-9990

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1386110963
LBN Legal business name Ridgeline Medical Llc
DBA Doing business as <Unavail>
Authorized official Mangan, Martin Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2018
Last updated Nov 1st, 2021 - about 5 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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