JX2 LLC NPI 1205583127

NPI Information

NPI: 1205583127
Provider Name: JX2 LLC

Doing Business As: TRIVIUM LIFE SERVICES

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
8950 W EMERALD ST STE 178
BOISE, ID
ZIP 83704
Phone: (208) 376-7083
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JX2 LLC is a rehabilitation and substance use disorder clinic center in Boise, ID. JX2 LLC NPI is 1205583127. The provider is registered as an organization entity type.
The provider Is Doing Business As Trivium Life Services.

The provider's business location address is:

8950 W EMERALD ST STE 178
BOISE, ID
ZIP 83704-296
Phone: (208) 376-7083
Fax: (208) 321-5069

The provider's authorized official is Heidi Williams .
The authorized official title is Billing/credentialing and has the following contact phone number (208) 376-7083.

The enumeration date for this NPI number is 3/10/2022 and was last updated on 3/31/2022.

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	251S00000X	Community/Behavioral Health				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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

NPI Synchronization or Removal

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