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Contact Information

CATALYST MEDICAL GROUP, PLLC
1174 ALTURAS DR
MOSCOW, ID83843-8341
 Phone: 208-743-3523
 Fax: 208-298-4525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for CATALYST MEDICAL GROUP, PLLC

NPI Number 1750147450
LBN Legal business name CATALYST MEDICAL GROUP, PLLC
Authorized official KARL SUNDBERG - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2024
Last updated 02/21/2024 - About 2 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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