TRANSFORMATIONS IDAHO PLLC; NPI #1609245109

Contact Information

TRANSFORMATIONS IDAHO PLLC

2857 S MERIDIAN RD
100
MERIDIAN, ID 83642-7960

Phone: 208-639-7300
Fax: 208-287-8330
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for TRANSFORMATIONS IDAHO PLLC

NPI Number	`1609245109`
LBN Legal business name	TRANSFORMATIONS IDAHO PLLC
Authorized official	JEFFREY JACOMS - (SOLE MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/15/2015
Last updated	09/15/2015 - 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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