Trailhead Medical Group Llc

LBN: Trailhead Medical Group Llc
Trailhead Medical Group Llc is an health care organization with primary practice located at 2269 E Grayson St , Meridian ID 83642-5348. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Trailhead Medical Group Llc can be contacted via phone (208) 841-7020, or through Christoffersen, Chase C via phone (208) 841-7020.

Contact Information

Primary practice address
2269 E Grayson St Meridian ID 83642-5348
Phone: (208) 841-7020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Christoffersen, Chase C
Phone: (208) 841-7020

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1457015422
LBN Legal business name Trailhead Medical Group Llc
DBA Doing business as
Authorized official Christoffersen, Chase C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2021
Last updated Jan 30th, 2023 - about 3 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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