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MIDNIGHT OIL LTD. NPI 1295729283


NPI Information

NPI: 1295729283
Provider Name: MIDNIGHT OIL LTD.

Doing Business As: MDC MAGIC VALLEY

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
798 LAWRENCE AVE
TWIN FALLS, ID
ZIP 83301
Phone: (208) 324-6776
Get Directions

MIDNIGHT OIL LTD. is a community based residential treatment facility, intellectual and/or developmental disabilities in Twin Falls, ID. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MIDNIGHT OIL LTD. NPI is 1295729283. The provider is registered as an organization entity type.
The provider Is Doing Business As Mdc Magic Valley.

The provider's business location address is:

798 LAWRENCE AVE
TWIN FALLS, ID
ZIP 83301-635
Phone: (208) 324-6776
Fax: (208) 324-6636

The provider's authorized official is Rob Bennett .
The authorized official title is Program Director and has the following contact phone number (208) 324-6776.

The enumeration date for this NPI number is 9/6/2005 and was last updated on 1/24/2012.


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
1251C00000XDay Training, Developmentally Disabled Services5MVDEV037IDAHONo
2343900000XNon-emergency Medical Transport (VAN)No
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4385H00000XRespite CareNo
5251J00000XNursing CareNo
6320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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
1806706300MEDICAIDIDAHO
2806667800MEDICAIDIDAHO
3807035800MEDICAIDIDAHO
4806868800MEDICAIDIDAHO
5806659900MEDICAIDIDAHO
6807628200MEDICAIDIDAHO
7807037200MEDICAIDIDAHO

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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