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Contact Information

PINEVIEW MEDICAL LLC
9075 STONEY CREEK RD
POCATELLO, ID83204-7242
 Phone: 888-851-3677
 Fax: 888-851-3671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PINEVIEW MEDICAL LLC

NPI # 1386412245
LBN Legal business name PINEVIEW MEDICAL LLC
Authorized official JARED ALLEN - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2023
Last updated 12/19/2023 - About 2 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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