IDAHO SLEEP SERVICES LLC NPI 1467620583

NPI Information

NPI: 1467620583
Provider Name: IDAHO SLEEP SERVICES, LLC

Doing Business As: IDAHO SLEEP HEALTH

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
7272 W POTOMAC DR
BOISE, ID
ZIP 83704
Phone: (208) 375-8222
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IDAHO SLEEP SERVICES, LLC is a sleep disorder diagnostic clinic center in Boise, ID. IDAHO SLEEP SERVICES, LLC NPI is 1467620583. The provider is registered as an organization entity type.
The provider Is Doing Business As Idaho Sleep Health.

The provider's business location address is:

7272 W POTOMAC DR
BOISE, ID
ZIP 83704-149
Phone: (208) 375-8222
Fax: (208) 375-8232

The provider's authorized official is Donald J Beasley .
The authorized official title is Manager and has the following contact phone number (208) 463-3000.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 2/3/2011.

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 State	Primary
1	291U00000X	Clinical Medical Laboratory		IDAHO	No
2	291U00000X	Clinical Medical Laboratory			No
3	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic		No
4	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	IDAHO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	17903881	MEDICARE PIN	IDAHO

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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