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IDAHO CARDIOLOGY ASSOCIATES PA NPI 1346295623


NPI Information

NPI: 1346295623
Provider Name: IDAHO CARDIOLOGY ASSOCIATES PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 13D2101842

Address:
6140 W CURTISIAN
STE 200
BOISE, ID
ZIP 83704
Phone: (208) 322-1680
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IDAHO CARDIOLOGY ASSOCIATES PA is a cardiovascular disease internal medicine in Boise, ID. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. IDAHO CARDIOLOGY ASSOCIATES PA NPI is 1346295623. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6140 W CURTISIAN
STE 200
BOISE, ID
ZIP 83704
Phone: (208) 322-1680

The provider's authorized official is James Lineberger .
The authorized official title is Executive Director and has the following contact phone number (208) 685-2109.

The CLIA number assigned to this NPI record is 13D2101842 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyX
3207RI0011XInternal MedicineInterventional CardiologyX

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: 4/28/2024

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