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Contact Information

GARY R MARTIN
516 LAUREL LANE
NAPLES, ID83847
 Phone: 208-610-1686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Assisted Living Facility

310400000X
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1073226437
Entity Organization
Organization subpart 1 Not specified
Enumeration date 12/30/2022
Last updated 02/16/2023 - About 3 years ago
Identifiers
ID License # CHF-2918
ID Medicaid IDTPID006303
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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