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Contact Information

IDAHO FALLS NORTH OF CASCADIA, LLC
840 E ELVA ST
IDAHO FALLS, ID83401-2801
 Phone: 208-401-9600
 Fax: 208-314-0639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for IDAHO FALLS NORTH OF CASCADIA, LLC

NPI Number 1972220473
LBN Legal business name IDAHO FALLS NORTH OF CASCADIA, LLC
Authorized official OWEN HAMMOND - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2022
Last updated 05/24/2024 - 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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