National Provider Identifier Database

MIDVALLEY HEALTHCARE PLLC
Rehabilitation, Substance Use Disorder


Contact Information

MIDVALLEY HEALTHCARE PLLC
2321 E GALA ST
SUITE 3
MERIDIAN, ID83642-7692
Phone: 208-888-5848
Fax: 208-888-0884
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for MIDVALLEY HEALTHCARE PLLC

NPI Number 1336553692
Legal business name
LBN
MIDVALLEY HEALTHCARE PLLC
Authorized official KRISTINA HARRINGTON - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/16/2014
Last updated 11/16/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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