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Contact Information

IDAHO VASCULAR INSTITUTE PLLC
4400 E FLAMINGO AVE
NAMPA, ID83687-9203
 Phone: 208-288-4620
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for IDAHO VASCULAR INSTITUTE PLLC

NPI Number 1629007844
LBN Legal business name IDAHO VASCULAR INSTITUTE PLLC
Authorized official DANIEL WEGNER - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2006
Last updated 08/26/2007 - About 19 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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