Spine Institute Of Idaho P A

LBN: Spine Institute Of Idaho P A
Spine Institute Of Idaho P A is an health care organization with primary practice located at 360 E Montvue Dr Suite 100, Meridian ID 83642-6318. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as the primary health care specialty. Spine Institute Of Idaho P A can be contacted via phone (208) 855-2900, or through Cooper, Tyler via phone (208) 855-2900.

Contact Information

Primary practice address
360 E Montvue Dr Suite 100 Meridian ID 83642-6318
Phone: (208) 855-2900
Fax: (208) 898-9877
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Tyler
Phone: (208) 855-2900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X

Profile Details

NPI number 1659380269
LBN Legal business name Spine Institute Of Idaho P A
DBA Doing business as
Authorized official Cooper, Tyler
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 4th, 2016 - about 9 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 1659380269 NPPES
Idaho MEDICAID 805983000

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