Blue Lakes Gastroenterology, Pllc in Twin Falls - Gastroenterology
Blue Lakes Gastroenterology, Pllc - NPI 1144267022
Blue Lakes Gastroenterology, Pllc is a Gastroenterology in Twin Falls, Idaho. Blue Lakes Gastroenterology, Pllc practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Blue Lakes Gastroenterology, Pllc is 1144267022. The last update date is 2013-03-09.
Blue Lakes Gastroenterology, Pllc's current location address is 775 Pole Line Rd W, Twin Falls, Idaho. You can contact this provider via phone number 2088148300 and fax number 2087338970. The mailing address for Blue Lakes Gastroenterology, Pllc is 775 Pole Line Rd W, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Lakes Gastroenterology, Pllc |
|---|---|
| Address | 775 Pole Line Rd W, Twin Falls, Idaho |
| Phone Number | 2088148300 |
| Fax Number | 2087338970 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Ward Robert |
| Credentials | M.D. |
| Telephone Number | 2088148300 |
NPI Number Detail
| NPI Number | 1144267022 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2013-03-09 |
Provider Mailing Address Detail
| Address | 775 Pole Line Rd W |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 833015814 |
| Phone Number | 2088148300 |
| Fax Number | 2087338970 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | M6665 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806237600 | ID | -- | |
| CJ6218 | ID | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Blue Lakes Gastroenterology, Pllc by the Centers for Medicare & Medicaid Services?
The Blue Lakes Gastroenterology, Pllc has been assigned the NPI (National Provider Identifier) 1144267022 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Blue Lakes Gastroenterology, Pllc?
The Blue Lakes Gastroenterology, Pllc is situated at 775 Pole Line Rd W, in the city of Twin Falls, state of ID, with the zip code 833015814.
What is the Blue Lakes Gastroenterology, Pllc's area of specialization and corresponding taxonomy classification?
The Blue Lakes Gastroenterology, Pllc's specialty field is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144267022 to Blue Lakes Gastroenterology, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1144267022 to Blue Lakes Gastroenterology, Pllc on 2006-06-01.
When was the information pertaining to Blue Lakes Gastroenterology, Pllc most recently updated or revised?
The details related to Blue Lakes Gastroenterology, Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2013-03-09.
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