Sleep Disorder Center Of Eastern Idaho, Inc. in Idaho Falls - Sleep Disorder Diagnostic
Sleep Disorder Center Of Eastern Idaho, Inc. - NPI 1427100270
Sleep Disorder Center Of Eastern Idaho, Inc. is a Sleep Disorder Diagnostic in Idaho Falls, Idaho. Sleep Disorder Center Of Eastern Idaho, Inc. practices all healthcare services and medical treatments related to Sleep Disorder Diagnostic. The NPI Number for Sleep Disorder Center Of Eastern Idaho, Inc. is 1427100270. The last update date is 2008-12-18.
Sleep Disorder Center Of Eastern Idaho, Inc.'s current location address is 2001 S Woodruff, Idaho Falls, Idaho. You can contact this provider via phone number 2085248044 and fax number 2085258896. The mailing address for Sleep Disorder Center Of Eastern Idaho, Inc. is 2001 S Woodruff, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Sleep Disorder Center Of Eastern Idaho, Inc. |
---|---|
Address | 2001 S Woodruff, Idaho Falls, Idaho |
Phone Number | 2085248044 |
Fax Number | 2085258896 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
---|---|
Authorized Official Name | Jackson M Sandra |
Credentials | POLYSOMNOG |
Telephone Number | 2085248044 |
NPI Number Detail
NPI Number | 1427100270 |
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Provider Enumeration Date | 2007-01-18 |
Last Updated Date | 2008-12-18 |
Provider Mailing Address Detail
Address | 2001 S Woodruff |
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City | Idaho Falls |
State | Idaho (ID) |
Post Code | 83404 |
Phone Number | 2085248044 |
Fax Number | 2085258896 |
Provider's Primary Taxonomy Detail
Speciality | Sleep Disorder Diagnostic |
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Taxonomy | 261Qs1200X |
Definition: Diagnoses and treats sleep disorders. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8A646 | BLUE CROSS | ||
10001762 | BLUE SHIELD | ||
805240900 | ID | -- |
Post Comment/ Review Below
What is the Sleep Disorder Center Of Eastern Idaho, Inc.'s unique identification number?
The Sleep Disorder Center Of Eastern Idaho, Inc. has been assigned the NPI (National Provider Identifier) Number 1427100270 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Sleep Disorder Center Of Eastern Idaho, Inc.'s facilities are geographically located?
The facilities of Sleep Disorder Center Of Eastern Idaho, Inc. are physically situated at the following location: 2001 S Woodruff, Idaho Falls, ID, 83404.
What is the Sleep Disorder Center Of Eastern Idaho, Inc.'s area of specialization and corresponding taxonomy classification?
The Sleep Disorder Center Of Eastern Idaho, Inc.'s specialty field is Sleep Disorder Diagnostic, and it falls under the taxonomy code 261Qs1200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1427100270 to Sleep Disorder Center Of Eastern Idaho, Inc.?
The Sleep Disorder Center Of Eastern Idaho, Inc. received its 1427100270 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date was the information pertaining to Sleep Disorder Center Of Eastern Idaho, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sleep Disorder Center Of Eastern Idaho, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-12-18.
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