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ERLAND INTERNAL MEDICINE PC NPI 1104177757


NPI Information

NPI: 1104177757
Provider Name: ERLAND INTERNAL MEDICINE, PC

Doing Business As: ERLAND INTERNAL MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 13D2050003

Address:
3667 N LOCUST GROVE RD
MERIDIAN, ID
ZIP 83646
Phone: (208) 939-9911
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ERLAND INTERNAL MEDICINE, PC is a primary care clinic center in Meridian, ID. ERLAND INTERNAL MEDICINE, PC NPI is 1104177757. The provider is registered as an organization entity type.
The provider Is Doing Business As Erland Internal Medicine.

The provider's business location address is:

3667 N LOCUST GROVE RD
MERIDIAN, ID
ZIP 83646-924
Phone: (208) 939-9911
Fax: (208) 939-9911

The provider's authorized official is Kerilynn Erland .
The authorized official title is Director and has the following contact phone number (541) 602-7999.

The CLIA number assigned to this NPI record is 13D2050003 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/23/2012 and was last updated on 2/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareM6886IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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