Idaho Physical Medicine And Rehabilitation Pa in Meridian - Ambulatory Surgical

Idaho Physical Medicine And Rehabilitation Pa - NPI 1497949705

Idaho Physical Medicine And Rehabilitation Pa is a Ambulatory Surgical in Meridian, Idaho. Idaho Physical Medicine And Rehabilitation Pa practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Idaho Physical Medicine And Rehabilitation Pa is 1497949705. The last update date is 2014-06-05.

Idaho Physical Medicine And Rehabilitation Pa's current location address is 3551 E Overland Road, Meridian, Idaho. You can contact this provider via phone number 2088841333. The mailing address for Idaho Physical Medicine And Rehabilitation Pa is 3551 E Overland Road, Meridian, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Idaho Physical Medicine And Rehabilitation Pa
Address 3551 E Overland Road, Meridian, Idaho
Phone Number 2088841333
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Shelton A Kate
Telephone Number 2082876558

NPI Number Detail

NPI Number 1497949705
Provider Enumeration Date 2007-08-29
Last Updated Date 2014-06-05

Provider Mailing Address Detail

Address 3551 E Overland Road
City Meridian
State Idaho (ID)
Post Code 83642
Phone Number 2088841333
Fax Number

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
808002500 ID --
P00612157 ID RAILROAD MEDICARE

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FAQs about Idaho Physical Medicine And Rehabilitation Pa

What is the unique 10-digit identifier code assigned to Idaho Physical Medicine And Rehabilitation Pa by the Centers for Medicare & Medicaid Services?

The Idaho Physical Medicine And Rehabilitation Pa has been issued the NPI (National Provider Identifier) 1497949705 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Idaho Physical Medicine And Rehabilitation Pa is geographically located?

The Idaho Physical Medicine And Rehabilitation Pa is physically situated at the following location: 3551 E Overland Road, Meridian, ID, 83642.

What is the Idaho Physical Medicine And Rehabilitation Pa's specialty and taxonomy code?

The Idaho Physical Medicine And Rehabilitation Pa's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.

On what date did Idaho Physical Medicine And Rehabilitation Pa receive its 1497949705 assignment from the Centers for Medicare & Medicaid Services?

The Idaho Physical Medicine And Rehabilitation Pa was assigned its 1497949705 on 2007-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Idaho Physical Medicine And Rehabilitation Pa most recently updated?

The details pertaining to the Idaho Physical Medicine And Rehabilitation Pa, including its address, specialty, and other relevant information, were last refreshed on 2014-06-05.

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