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Contact Information

PINNACLE HEALTH SYSTEMS
1522 ELK CREEK DRIVE
IDAHO FALLS, ID83404
 Phone: 208-552-0920
 Fax: 208-529-2564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PINNACLE HEALTH SYSTEMS

NPI # 1275577827
LBN Legal business name PINNACLE HEALTH SYSTEMS
Authorized official DONEVAN NEIDER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2006
Last updated 05/06/2009 - About 17 years ago
Identifiers
ID Medicaid 807134000
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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