CLUB, INC.; NPI #1215097480

Contact Information

CLUB, INC.

2001 S WOODRUFF AVE
SUITE 6
IDAHO FALLS, ID 83404-6374

Phone: 208-529-4673
Fax: 208-529-4676
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

Edit contact information

NPI Profile & details for CLUB, INC.

NPI #	`1215097480`
LBN Legal business name	CLUB, INC.
Authorized official	MARDEE HARPER - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/11/2006
Last updated	08/22/2020 - About 6 years 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.

Reviews for CLUB, INC.

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for CLUB, INC.
Be the first to post a comment or review.

Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Agencies

HEATHER A SCHAPER, PA
306 N MAIN ST
ABERDEEN, ID

DWIGHT D WALLACE, PHARM.D.
44 S. MAIN ST
ABERDEEN, ID

DRISCOLL DENTAL, PLLC
81 W WASHINGTON AVE
ABERDEEN, ID

GABRIELLE R MESSICK, LMSW
4300 E. FLAMINGO AVE.
83687, ID

KORY ANDERSEN
3100 CHANNING WAY
207514, ID

View all Agencies

CLUB, INC.

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for CLUB, INC.

Reviews for CLUB, INC.