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HEALING SANCTUARY LLC NPI 1346799483


NPI Information

NPI: 1346799483
Provider Name: HEALING SANCTUARY LLC

Doing Business As: THE HEALING SANCTUARY LLC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 13D2123747

Address:
187 E 13TH ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 497-0500
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HEALING SANCTUARY LLC is a clinic center in Idaho Falls, ID. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HEALING SANCTUARY LLC NPI is 1346799483. The provider is registered as an organization entity type.
The provider Is Doing Business As The Healing Sanctuary Llc.

The provider's business location address is:

187 E 13TH ST
IDAHO FALLS, ID
ZIP 83404-305
Phone: (208) 497-0500
Fax: (208) 497-0505

The provider's authorized official is Becky Watson .
The authorized official title is Billing Supervisor and has the following contact phone number (208) 497-0500.

The CLIA number assigned to this NPI record is 13D2123747 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/30/2016 and was last updated on 12/19/2023.


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
1261QP2300XClinic/CenterPrimary CareNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261Q00000XClinic/CenterYes

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: 5/5/2024

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