Q17 HEALTH PARTNERS LLC NPI 1427523968

NPI Information

NPI: 1427523968
Provider Name: Q17 HEALTH PARTNERS LLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
100 EAST IDAHO STREET #317
BOISE, ID
ZIP 83712
Phone: (208) 433-1736
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Q17 HEALTH PARTNERS LLC is a plastic and reconstructive surgery surgery in Boise, ID. The provider is a surgeon who specializes in plastic and reconstructive surgery. Q17 HEALTH PARTNERS LLC NPI is 1427523968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 EAST IDAHO STREET #317
BOISE, ID
ZIP 83712
Phone: (208) 433-1736
Fax: (208) 433-1738

The provider's authorized official is Russell H Griffiths .
The authorized official title is President and has the following contact phone number (208) 433-1736.

The enumeration date for this NPI number is 10/11/2018 and was last updated on 10/17/2018.

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
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	805132700	MEDICAID	IDAHO

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: 11/14/2023

NPI Synchronization or Removal

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