N.E.X.T. LEVEL HEALTH CENTER, INC.; NPI #1124303094

Contact Information

N.E.X.T. LEVEL HEALTH CENTER, INC.

2105 NIAGARA
IDAHO FALLS, ID 83404

Phone: 208-528-6010
Fax: 208-528-6011
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for N.E.X.T. LEVEL HEALTH CENTER, INC.

NPI # 1124303094

LBN Legal business name N.E.X.T. LEVEL HEALTH CENTER, INC.

Authorized official JUSTIN HAMMON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/11/2011

Last updated 12/09/2016 - About 9 years ago

Identifiers

ID	License #	ACT-251
ID	License #	CHIA-1341
ID	Medicaid	808261500

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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