NORTHWEST OCCUPATIONAL MEDICINE & NEUROSURGICAL SPINE INSTITUTE LLC NPI 1619539897

NPI Information

NPI: 1619539897
Provider Name: NORTHWEST OCCUPATIONAL MEDICINE & NEUROSURGICAL SPINE INSTITUTE LLC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
8921 W HACKAMORE DR
BOISE, ID
ZIP 83709
Phone: (208) 375-1105
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NORTHWEST OCCUPATIONAL MEDICINE & NEUROSURGICAL SPINE INSTITUTE LLC is an occupational medicine clinic center in Boise, ID. NORTHWEST OCCUPATIONAL MEDICINE & NEUROSURGICAL SPINE INSTITUTE LLC NPI is 1619539897. The provider is registered as an organization entity type.

The provider's business location address is:

8921 W HACKAMORE DR
BOISE, ID
ZIP 83709-673
Phone: (208) 375-1105
Fax: (208) 377-7707

The provider's authorized official is Paul Joseph Montalbano .
The authorized official title is Owner and has the following contact phone number (208) 327-5600.

The enumeration date for this NPI number is 7/8/2019 and was last updated on 5/9/2022.

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	261QP2000X	Clinic/Center	Physical Therapy			No
2	261QX0100X	Clinic/Center	Occupational Medicine			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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