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Contact Information

AMBITIONS OF IDAHO, INC.
1044 NORTHWEST BLVD.
SUITE F
COEUR D'ALENE, ID83814
 Phone: 208-676-9395
 Fax: 208-676-9385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for AMBITIONS OF IDAHO, INC.

NPI # 1700296852
LBN Legal business name AMBITIONS OF IDAHO, INC.
Authorized official WILLIAM MORRIS - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 04/29/2014
Last updated 04/29/2014 - About 12 years ago
Identifiers
ID License # RHA-228
ID Medicaid M8079051
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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