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Contact Information

MERIDIAN ADVANCED PSYCHIATRY , LLC
1672 S WOODSAGE AVE.
MERIDAN, ID83642
 Phone: 208-515-2273
 Fax: 208-515-2274
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MERIDIAN ADVANCED PSYCHIATRY , LLC

NPI # 1609412683
LBN Legal business name MERIDIAN ADVANCED PSYCHIATRY , LLC
Authorized official KEVIN HULSEY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/25/2019
Last updated 05/12/2020 - 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.

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