ELITE MEDICINE PC NPI 1487393393

NPI Information

NPI: 1487393393
Provider Name: ELITE MEDICINE PC

Doing Business As: GENESIS RESTORATIVE MEDICINE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
526 SHOUP AVE W STE E
TWIN FALLS, ID
ZIP 83301
Phone: (877) 382-2072
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ELITE MEDICINE PC is a multi-specialty clinic center in Twin Falls, ID. ELITE MEDICINE PC NPI is 1487393393. The provider is registered as an organization entity type.
The provider Is Doing Business As Genesis Restorative Medicine.

The provider's business location address is:

526 SHOUP AVE W STE E
TWIN FALLS, ID
ZIP 83301-050
Phone: (877) 382-2072
Fax: (208) 985-2261

The provider's authorized official is Lindsay Hubsmith .
The authorized official title is Owner and has the following contact phone number (208) 358-3225.

The enumeration date for this NPI number is 5/31/2022 and was last updated on 6/7/2022.

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	261QM1300X	Clinic/Center	Multi-Specialty			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: 11/14/2023

NPI Synchronization or Removal

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