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Contact Information

PARK CENTER FOOT AND ANKLE
671 E. RIVERPARK LANE
STE 110
BOISE, ID83706
 Phone: 208-387-0900
 Fax: 208-345-5883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PARK CENTER FOOT AND ANKLE

NPI # 1629043252
LBN Legal business name PARK CENTER FOOT AND ANKLE
Authorized official ALYSSA BARBER - (BILLER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/17/2006
Last updated 11/13/2023 - About 3 years ago
Identifiers
ID License # P142
ID Medicaid 002725800
Other DA8994 RAILROAD MEDICARE
ID Other P1423 BLUE CROSS OF ID
ID Other 000010015660 REGENCE BS OF ID
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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