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Contact Information

BOISE MEMORIAL HOSPICE LLC
600 E STATE ST
SUITE 300
EAGLE, ID83616-6081
 Phone: 208-938-4100
 Fax: 208-938-4564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for BOISE MEMORIAL HOSPICE LLC

NPI # 1144223900
LBN Legal business name BOISE MEMORIAL HOSPICE LLC
Authorized official LAURIE CAMPBELL - (OWNER/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2005
Last updated 05/20/2009 - About 17 years ago
Identifiers
ID Medicaid 804269500
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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