National Provider Identifier Database

ADVANCED INTEGRATED MEDICAL CENTER
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

ADVANCED INTEGRATED MEDICAL CENTER
1395 NW MAIN ST
BLACKFOOT, ID83221-3936
Phone: 208-785-0270
Fax: 208-785-0683
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADVANCED INTEGRATED MEDICAL CENTER

NPI Number 1033674916
Legal business name
LBN
ADVANCED INTEGRATED MEDICAL CENTER
Authorized official DEE STEVENS - (OWNER/OPERATOR)
Entity Organization
Organization subpart No
Enumeration date 02/05/2019
Last updated 06/18/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 1962456681 PERSONAL NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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