Santibanez Pac Idaho

LBN: Santibanez Pac Idaho
Santibanez Pac Idaho is an health care organization with primary practice located at 840 E Elva St , Idaho Falls ID 83401-2801. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Santibanez Pac Idaho can be contacted via phone (208) 523-4795, or through Roser, Julie via phone (775) 222-0045.

Contact Information

Primary practice address
840 E Elva St Idaho Falls ID 83401-2801
Phone: (208) 523-4795
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roser, Julie
Phone: (775) 222-0045

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1346015948
LBN Legal business name Santibanez Pac Idaho
DBA Doing business as
Authorized official Roser, Julie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2023
Last updated Nov 24th, 2023 - about 2 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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