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Contact Information

CHRISTENSEN FOOT & ANKLE CLINIC
1777 E CLARK ST
SUITE 220
POCATELLO, ID83201-3357
 Phone: 208-235-1777
 Fax: 208-232-7518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHRISTENSEN FOOT & ANKLE CLINIC

NPI Number 1598197857
LBN Legal business name CHRISTENSEN FOOT & ANKLE CLINIC
Authorized official HUI MIN CHRISTENSEN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2013
Last updated 08/08/2013 - About 13 years ago
Identifiers
ID License # P-166
ID Medicaid 806402300
Other P1985 BLUE CROSS OF IDAHO
Other 4792930001 MEDIARE DME
Other 1351091 MEDICARE PTAN
Other P00031188 RAILROAD MEDICARE
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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