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HNI MEDICAL SERVICES OF IDAHO LLC NPI 1063928638


NPI Information

NPI: 1063928638
Provider Name: HNI MEDICAL SERVICES OF IDAHO, LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
415 6TH ST
LEWISTON, ID
ZIP 83501
Phone: (512) 730-3056
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HNI MEDICAL SERVICES OF IDAHO, LLC is an emergency medicine in Lewiston, ID. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. HNI MEDICAL SERVICES OF IDAHO, LLC NPI is 1063928638. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

415 6TH ST
LEWISTON, ID
ZIP 83501-431
Phone: (512) 730-3056
Fax: (888) 730-1925

The provider's authorized official is Scott Klosterman .
The authorized official title is Cao and has the following contact phone number (512) 730-3056.

The enumeration date for this NPI number is 12/19/2017 and was last updated on 11/23/2020.


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
1207P00000XEmergency MedicineYes
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo

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
11063928638MEDICAIDIDAHO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.