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Contact Information

INLANDE EMPIRE GYMNASTICS ASSOCIATION
6360 N SUNSHINE ST
COEUR D'ALENE, ID83815-8699
 Phone: 208-635-5623
 Fax: 208-601-6153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for INLANDE EMPIRE GYMNASTICS ASSOCIATION

NPI # 1124825724
LBN Legal business name INLANDE EMPIRE GYMNASTICS ASSOCIATION
Authorized official ASHTON NOEL UNDERDAHL - (STRATEGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2025
Last updated 03/01/2025 - More than a year 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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