St. Luke'S Elks Childrens Rehab

LBN: St. Luke'S Elks Childrens Rehab
St. Luke'S Elks Childrens Rehab is an health care organization with primary practice located at 405 W Myrtle St , Boise ID 83702-7658. The organization recently has only one registered license in Hospitals / Children, which is considered as the primary health care specialty. St. Luke'S Elks Childrens Rehab can be contacted via phone (208) 489-5880, or through Wilson, Brent via phone (208) 489-4761.

Contact Information

Primary practice address
405 W Myrtle St Boise ID 83702-7658
Phone: (208) 489-5880
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Brent
Phone: (208) 489-4761

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Children 283XC2000X SLP-2340 Idaho

Profile Details

NPI number 1548697006
LBN Legal business name St. Luke'S Elks Childrens Rehab
DBA Doing business as
Authorized official Wilson, Brent
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2013
Last updated Sep 30th, 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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