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Contact Information

GOBLE MEDICAL GROUP
1950 S HIGHWAY 89
PERRY, UT84302-4119
 Phone: 208-542-9111
 Fax: 208-542-9114
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for GOBLE MEDICAL GROUP

NPI Number 1154712768
LBN Legal business name GOBLE MEDICAL GROUP
Authorized official EDWIN GOBLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/18/2015
Last updated 03/09/2015 - About 11 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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