State Hospital South Laboratory

LBN: State Of Idaho
State Hospital South Laboratory is an health care organization with primary practice located at 700 East Alice , Blackfoot ID 83221. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. State Of Idaho can be contacted via phone (208) 785-8429, or through Heckard, Ralph Duane via phone (208) 785-8429.

Contact Information

Primary practice address
700 East Alice Blackfoot ID 83221
Phone: (208) 785-8429
Fax: (208) 785-8439
Website:
Map and Directions
Authorized official contact:
Name: Heckard, Ralph Duane Doctor of Medicine (MD)
Phone: (208) 785-8429

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X Idaho

Profile Details

NPI number 1790841781
LBN Legal business name State Of Idaho
DBA Doing business as State Hospital South Laboratory
Authorized official Heckard, Ralph Duane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - about 6 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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