Provider Type Icon

CALDWELL RADIOLOGICAL ASSOCIATES PROFESSIONAL ASSOCIATION NPI 1780620633


NPI Information

NPI: 1780620633
Provider Name: CALDWELL RADIOLOGICAL ASSOCIATES PROFESSIONAL ASSOCIATION
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1717 ARLINGTON AVE
CALDWELL, ID
ZIP 83605
Phone: (208) 455-3730
Get Directions

CALDWELL RADIOLOGICAL ASSOCIATES PROFESSIONAL ASSOCIATION is a diagnostic radiology radiology in Caldwell, ID. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CALDWELL RADIOLOGICAL ASSOCIATES PROFESSIONAL ASSOCIATION NPI is 1780620633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1717 ARLINGTON AVE
CALDWELL, ID
ZIP 83605-802
Phone: (208) 455-3730

The provider's authorized official is Loreli Smith .
The authorized official title is President and has the following contact phone number (208) 455-3730.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 2/12/2009.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
1002396000MEDICAIDIDAHO
21372306MEDICARE PINIDAHO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.