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Contact Information

FIRM FOUINDATIONS LLC
2496 MESA ST
IDAHO FALLS, ID83401-3369
 Phone: 208-251-7885
 Fax: 208-745-0527
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FIRM FOUINDATIONS LLC

NPI # 1821207580
LBN Legal business name FIRM FOUINDATIONS LLC
Authorized official JESSE PETERSON - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
ID Medicaid 8068920
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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