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Contact Information

PROSPER HEALTH LLC
1345 HILINE RD
POCATELLO, ID83201-2943
 Phone: 208-757-0337
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder Unit

276400000X
Indicates primary specialty

NPI Profile & details for PROSPER HEALTH LLC

NPI # 1407695224
LBN Legal business name PROSPER HEALTH LLC
Authorized official CHESTER LACKEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2024
Last updated 05/21/2024 - 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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