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Contact Information

PEDIATRIC CARDIOLOGY OF IDAHO
900 N LIBERTY ST STE 206
BOISE, ID83704-8729
 Phone: 208-453-9962
 Fax: 208-453-9963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC CARDIOLOGY OF IDAHO

NPI # 1376362038
LBN Legal business name PEDIATRIC CARDIOLOGY OF IDAHO
Authorized official WHITNEY BAIRD - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2024
Last updated 10/08/2024 - More than a year 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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