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Contact Information

EASTPORT PSR, L.L.P.
7222 MAIN STREET
BONNERS FERRY, ID83805
 Phone: 208-946-3604
 Fax: 208-267-1681
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for EASTPORT PSR, L.L.P.

NPI Number 1083831556
LBN Legal business name EASTPORT PSR, L.L.P.
Authorized official ANNA HARRIS - (PSYCHOSOCIAL REHABILITATION SPECIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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