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Contact Information

ADAMS COUNTY HEALTH CENTER INC
205 N BERKLEY ST
COUNCIL, ID83612-5015
 Phone: 208-253-4957
 Fax: 208-253-4958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ADAMS COUNTY HEALTH CENTER INC

NPI Number 1164964219
LBN Legal business name ADAMS COUNTY HEALTH CENTER INC
Authorized official MARY ANN DOMECQ - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2016
Last updated 03/13/2017 - About 9 years ago
Identifiers
ID License # 43512LS
Other 2166314 PK
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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