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CARDIOVASCULAR CONSULTANTS OF IDAHO NPI 1730192329


NPI Information

NPI: 1730192329
Provider Name: CARDIOVASCULAR CONSULTANTS OF IDAHO
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1070 N CURTIS RD
STE 125
BOISE, ID
ZIP 83706
Phone: (208) 377-1415
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CARDIOVASCULAR CONSULTANTS OF IDAHO 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. CARDIOVASCULAR CONSULTANTS OF IDAHO NPI is 1730192329. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1070 N CURTIS RD
STE 125
BOISE, ID
ZIP 83706-238
Phone: (208) 377-1415
Fax: (208) 375-3451

The provider's authorized official is Steven Joseph Fonken .
The authorized official title is President and has the following contact phone number (208) 377-1415.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 7/10/2008.


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

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10107144948MEDICARE ID-TYPE UNSPECIFIEDIDAHO
21374074MEDICARE ID-TYPE UNSPECIFIED

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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