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Contact Information

AEGIS IDAHO LLC
30 N STATE ST
PRESTON, ID83263-1237
 Phone: 435-723-9000
 Fax: 435-734-9819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for AEGIS IDAHO LLC

NPI # 1215756952
LBN Legal business name AEGIS IDAHO LLC
Authorized official GREGORY MANGUM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2024
Last updated 10/09/2024 - More than a year 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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