Mountain States Oncology Group in Boise - Nurse Practitioner
Mountain States Oncology Group - NPI 1205093739
Mountain States Oncology Group is a Nurse Practitioner in Boise, Idaho. Mountain States Oncology Group practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mountain States Oncology Group is 1205093739. The last update date is 2008-05-21.
Mountain States Oncology Group's current location address is Po Box 1809, Boise, Idaho. You can contact this provider via phone number 2083433223 and fax number 2083433263. The mailing address for Mountain States Oncology Group is Po Box 1809, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain States Oncology Group |
|---|---|
| Address | Po Box 1809, Boise, Idaho |
| Phone Number | 2083433223 |
| Fax Number | 2083433263 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS A |
|---|---|
| Authorized Official Name | Sullivan Joni |
| Telephone Number | 2083433223 |
NPI Number Detail
| NPI Number | 1205093739 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | Po Box 1809 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837011809 |
| Phone Number | 2083433223 |
| Fax Number | 2083433263 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Post Comment/ Review Below
What is the unique identifier code issued to Mountain States Oncology Group by the Centers for Medicare & Medicaid Services?
The Mountain States Oncology Group has been assigned the NPI (National Provider Identifier) 1205093739. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mountain States Oncology Group is physically located?
The Mountain States Oncology Group is situated at the following address: Po Box 1809, Boise, ID 837011809.
What is the area of specialization for Mountain States Oncology Group, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mountain States Oncology Group is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205093739 to Mountain States Oncology Group?
The Centers for Medicare & Medicaid Services assigned the 1205093739 to Mountain States Oncology Group on 2008-05-21.
As of what date was the information pertaining to Mountain States Oncology Group, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mountain States Oncology Group, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-21.
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