Treasure Valley Colon & Rectal Clinic Pllc

LBN: Treasure Valley Colon & Rectal Clinic Pllc
Treasure Valley Colon & Rectal Clinic Pllc is an health care organization with primary practice located at 1072 N Liberty St Suite 201, Boise ID 83704-8706. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is the primary health care specialty. Treasure Valley Colon & Rectal Clinic Pllc can be contacted via phone (208) 377-2273, or through Green, Johnny B via phone (208) 377-2273.

Contact Information

Primary practice address
1072 N Liberty St Suite 201 Boise ID 83704-8706
Phone: (208) 377-2273
Fax: (208) 367-3059
Website:
Map and Directions
Authorized official contact:
Name: Green, Johnny B Doctor of Medicine (MD)
Phone: (208) 377-2273

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M11186 Idaho
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X M11186 Idaho

Profile Details

NPI number 1316243371
LBN Legal business name Treasure Valley Colon & Rectal Clinic Pllc
DBA Doing business as
Authorized official Green, Johnny B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2011
Last updated Mar 22nd, 2011 - about 15 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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