1437178399 NPI number — IDAHO FACIAL IMAGING LLC

Table of content: (NPI 1437178399)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437178399 NPI number — IDAHO FACIAL IMAGING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IDAHO FACIAL IMAGING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437178399
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8119 USTICK RD
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
BOISE
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83704-5754
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-514-4740
Provider Business Mailing Address Fax Number:
208-376-7012

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8119 USTICK RD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
BOISE
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83704-5754
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-514-4740
Provider Business Practice Location Address Fax Number:
208-376-7012
Provider Enumeration Date:
07/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STAUTS
Authorized Official First Name:
BRADEN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER/PARTNER
Authorized Official Telephone Number:
208-514-4740

Provider Taxonomy Codes

  • Taxonomy code: 261QR0200X , with the licence number:  4-D-2095 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000010156829 . This is a "REGENCE BLUE SHIELD-MEDIC" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".
  • Identifier: 000010156827 . This is a "REGENCE BLUE SHIELD-DENTA" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com