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Contact Information

DIVISION OF VETERANS SERVICES
821 21ST AVE
LEWISTON, ID83501-6389
 Phone: 208-799-3422
 Fax: 208-799-3414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for DIVISION OF VETERANS SERVICES

NPI Number 1679562011
LBN Legal business name DIVISION OF VETERANS SERVICES
Authorized official TRACY SCHANER - (DEPUTY CHIEF ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2005
Last updated 10/30/2024 - More than a year ago
Identifiers
ID License # 91
ID Medicaid 805741800
ID Medicaid 805788200
ID Other 1307102 NABP PHARMACY
ID Other 91 NURSING FACILITY LICENSE
ID Other 1042HP PHARMACY LICENSE
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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