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Contact Information

LAURA YOUNG
500 W FORT ST
BOISE, ID83702-4501
 Phone: 208-422-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

VA

261QV0200X
Indicates primary specialty

NPI Profile & details for

NPI Number 1063147023
Entity Organization
Organization subpart 1 Not specified
Enumeration date 07/22/2022
Last updated 07/22/2022 - About 4 years ago
Identifiers
ID License # 73612
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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