Snake River Ear, Nose & Throat Pc

LBN: Snake River Ear, Nose & Throat Pc
Snake River Ear, Nose & Throat Pc is an health care organization with primary practice located at 706 North College Road Suite C, Twin Falls ID 83301. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Snake River Ear, Nose & Throat Pc can be contacted via phone (208) 735-1000, or through Kack, Rod via phone (208) 735-1000.

Contact Information

Primary practice address
706 North College Road Suite C Twin Falls ID 83301
Phone: (208) 735-1000
Fax: (208) 732-5345
Website:
Map and Directions
Authorized official contact:
Name: Kack, Rod Doctor of Medicine (MD)
Phone: (208) 735-1000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A89785 Idaho

Profile Details

NPI number 1104912740
LBN Legal business name Snake River Ear, Nose & Throat Pc
DBA Doing business as
Authorized official Kack, Rod Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Jan 15th, 2013 - about 13 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 1104912740 NPPES
Idaho MEDICAID 805168100

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