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Contact Information

QUALICARE INC.
3539 BRIAR CREEK LN
SUITE A
AMMON, ID83406-4761
 Phone: 208-542-1388
 Fax: 208-552-7847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for QUALICARE INC.

NPI # 1629252994
LBN Legal business name QUALICARE INC.
Authorized official BART LARSEN - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2007
Last updated 02/14/2008 - About 18 years ago
Identifiers
ID License # C132647
ID Medicaid 8055151
ID Medicaid 8058569
ID Medicaid 8068114
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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