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Contact Information

EASTERN IDAHO HEALTH SERVICES, INC.
3100 CHANNING WAY
IDAHO FALLS, ID83404-7533
 Phone: 208-529-6111
 Fax: 208-529-7021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for EASTERN IDAHO HEALTH SERVICES, INC.

NPI Number 1528261849
LBN Legal business name EASTERN IDAHO HEALTH SERVICES, INC.
Authorized official JEFFREY BAIOCCO - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2007
Last updated 06/11/2010 - About 16 years ago
Identifiers
WY Medicaid 114794302
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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