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Contact Information

LAKE CITY MEDICAL INVESTORS, LLC
500 W AQUA AVE
COEUR D'ALENE, ID83815-7764
 Phone: 208-762-1122
 Fax: 208-762-9191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LAKE CITY MEDICAL INVESTORS, LLC

NPI # 1366495277
LBN Legal business name LAKE CITY MEDICAL INVESTORS, LLC
Authorized official CINDY CROSS - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2006
Last updated 01/20/2016 - About 10 years ago
Identifiers
ID License # 65
ID Medicaid 0021309
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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