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Contact Information

INLAND NORTHWEST FOOT AND ANKLE PC
1590 E POLSTON AVE
STE A
POST FALLS, ID83854-5218
 Phone: 208-777-9794
 Fax: 208-777-9523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for INLAND NORTHWEST FOOT AND ANKLE PC

NPI # 1538144753
LBN Legal business name INLAND NORTHWEST FOOT AND ANKLE PC
Authorized official BRYAN THOMPSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/09/2005
Last updated 01/18/2008 - About 18 years ago
Identifiers
ID License # P173
ID Other I0007985456 AETNA
ID Other P9293 BLUE CROSS - CLINIC #
ID Other P2165 BLUE CROSS - PROVIDER #
ID Other 000010149213 BLUE SHIELD
ID Other P00224830 RR MEDICARE PIN
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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