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Contact Information

ALLEGIANT HEALTH LLC
210 12TH AVE RD
NAMPA, ID83686-5013
 Phone: 208-466-0987
 Fax: 208-466-0985
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for ALLEGIANT HEALTH LLC

NPI Number 1710410378
LBN Legal business name ALLEGIANT HEALTH LLC
Authorized official NICOLE SMITH - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2017
Last updated 04/10/2017 - About 9 years ago
Identifiers
ID License # 1740674621
ID Medicaid 1740674621
ID Other 8Q516 1740674621 BLUE CROSS
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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