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Contact Information

INNOVATIVE HEALTH CARE CONCEPTS INC
115 E 16TH ST
IDAHO FALLS, ID83404-5919
 Phone: 208-523-6727
 Fax: 208-523-6729
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for INNOVATIVE HEALTH CARE CONCEPTS INC

NPI # 1861035248
LBN Legal business name INNOVATIVE HEALTH CARE CONCEPTS INC
Authorized official LISA SMITH - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2019
Last updated 06/02/2020 - About 6 years ago
Identifiers
ID Medicaid 2741600
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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