National Provider Identifier Database

IDAHO MINOR EMERGENCY AND FAMILY PRACTICE PA
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

IDAHO MINOR EMERGENCY AND FAMILY PRACTICE PA
3041 EAST COPPER POINTE DRIVE
MERIDIAN, ID83642
Phone: 208-514-4400
Fax: 208-514-4404
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for IDAHO MINOR EMERGENCY AND FAMILY PRACTICE PA

NPI Number 1205996063
Legal business name
LBN
IDAHO MINOR EMERGENCY AND FAMILY PRACTICE PA
Authorized official RAYMOND HOOFT - (OWNER, CEO)
Entity Organization
Organization subpart No
Enumeration date 12/11/2006
Last updated 03/27/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Other: 13D1049440 CLIA NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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