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Contact Information

FMG IRONWOOD PLACE IDAHO LLC
2200 IRONWOOD PLACE
COEUR D'ALENE, ID83814-2610
 Phone: 208-667-6486
 Fax: 208-676-8276
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for FMG IRONWOOD PLACE IDAHO LLC

NPI Number 1821486986
LBN Legal business name FMG IRONWOOD PLACE IDAHO LLC
Authorized official DAVID KEATING - (AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/24/2014
Last updated 11/07/2017 - About 9 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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