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Contact Information

SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC
415 6TH ST
LEWISTON, ID83501-2431
 Phone: 208-750-7445
 Fax: 208-750-7395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroradiology

2085N0700X
 

Body Imaging

2085B0100X
 

Radiology

261QR0200X 74 Radiation Therapy Center
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC

NPI # 1982037107
LBN Legal business name SJRMC INTERVENTIONAL RADIOLOGY SERVICES LLC
Authorized official TERRANCE DILLON - (ASST SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2013
Last updated 03/24/2022 - About 4 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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