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Contact Information

BOBODZHANOV INC
440 W BRODERICK DR
MERIDIAN, ID83646-6427
 Phone: 206-786-6936
 Fax: 206-621-4176
 Website:
Indicates primary specialty

NPI Profile & details for BOBODZHANOV INC

NPI Number 1013081058
LBN Legal business name BOBODZHANOV INC
Authorized official ALEXI BOBODZHANOV - (PRESIDENT CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2006
Last updated 03/08/2017 - About 9 years ago
Identifiers
WA License # N/A PORTABLE U/S
WA Medicaid 7115389
WA Other 568397002 GROUP HEALTH COOPERATIVE
WA Other 0185002 LABOR AND INDUSTRIES
WA Other 47001664 RAILROAD MEDICARE
WA Other 7130BO REGENCE
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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