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Contact Information

THRONE OF GRACE, LLC.
4460 CENTRAL WAY
POCATELLO, ID83202-5095
 Phone: 208-522-6155
 Fax: 208-522-6156
 Website:
Indicates primary specialty

NPI Profile & details for THRONE OF GRACE, LLC.

NPI Number 1063820629
LBN Legal business name THRONE OF GRACE, LLC.
Authorized official DAVID PINEGAR - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2014
Last updated 07/28/2014 - About 12 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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