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Contact Information

CLEARWATER VEIN CARE CENTER PC
3316 1/2 4TH ST
SUITE 4B
LEWISTON, ID83501-4460
 Phone: 208-798-7600
 Fax: 208-798-7602
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CLEARWATER VEIN CARE CENTER PC

NPI Number 1174693196
LBN Legal business name CLEARWATER VEIN CARE CENTER PC
Authorized official ALAN MUENCH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2006
Last updated 12/16/2008 - About 17 years ago
Identifiers
ID License # MD00045914
ID Medicaid 001204900
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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