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Contact Information

KEYSTONE CENTER FOR GERIATRICS LLC
305 W BANNOCK ST
BOISE, ID83702-6033
 Phone: 208-514-0670
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEYSTONE CENTER FOR GERIATRICS LLC

NPI # 1376211268
LBN Legal business name KEYSTONE CENTER FOR GERIATRICS LLC
Authorized official LEONARD JENSEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/03/2021
Last updated 09/03/2021 - About 5 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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