GJC ENTERPRISES INC NPI 1790542959

NPI Information

  • NPI: 1790542959
  • Provider Name: GJC ENTERPRISES, INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 2053 E FAIRVIEW AVE STE 107
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 895-0977

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NPI Details

GJC ENTERPRISES, INC is a clinic center in Meridian, 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). GJC ENTERPRISES, INC NPI is 1790542959. The provider is registered as an organization entity type.

The provider's business location address is:

2053 E FAIRVIEW AVE STE 107
MERIDIAN, ID
ZIP 83642-044
Phone: (208) 895-0977

The provider's authorized official is Greg Callis .
The authorized official title is President and has the following contact phone number (208) 895-0977.

The enumeration date for this NPI number is 3/4/2024 and was last updated on 3/4/2024.

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
1261Q00000XClinic/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: 3/30/2025

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