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Contact Information

IDAHO FALLS PULMONARY SLEEP & CRITICAL CARE SPECIALISTS
2442 E 25TH ST
IDAHO FALLS, ID83404-7549
 Phone: 208-552-4909
 Fax: 208-522-6101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IDAHO FALLS PULMONARY SLEEP & CRITICAL CARE SPECIALISTS

NPI Number 1407124753
LBN Legal business name IDAHO FALLS PULMONARY SLEEP & CRITICAL CARE SPECIALISTS
Authorized official ALLEN SALEM - (OWNER/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2011
Last updated 01/04/2012 - About 14 years ago
Identifiers
ID Other 8P562 BLUE CROSS OF IDAHO
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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