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Contact Information

IDAHO COMPLETE FOOT CARE
880 REDMAN ST
CHUBBUCK, ID83202-2655
 Phone: 208-681-2353
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for IDAHO COMPLETE FOOT CARE

NPI Number 1740824762
LBN Legal business name IDAHO COMPLETE FOOT CARE
Authorized official DANIELLE GEORGE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2019
Last updated 11/01/2019 - About 7 years 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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