NPI:
1912189481
Provider Name:
EMERGENCY RESPONDERS HEALTH CENTER, LLC
Former Legal Business Name: DOCTORS FOR IDAHO FIRE SERVICES, LLC
Classification:
Clinic/Center - 261QP2300X
Entity Type:
Organization
Specialization: Primary Care
CLIA Number: 13D2068474
Address:
9976 W EMERALD ST
BOISE, ID
ZIP 83704
Phone:
(208) 229-3742
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EMERGENCY RESPONDERS HEALTH CENTER, LLC is a primary care clinic center in Boise, ID. EMERGENCY RESPONDERS HEALTH CENTER, LLC NPI is 1912189481. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Doctors For Idaho Fire Services, Llc.
The provider's business location address is:
9976 W EMERALD ST
BOISE, ID
ZIP 83704-769
Phone: (208) 229-3742
Fax: (208) 229-8450
The provider's authorized official is Robert Joseph Hilvers .
The authorized official title is Owner and has the following contact phone number (208) 381-0697.
The CLIA number assigned to this NPI record is 13D2068474 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/27/2007 and was last updated on 8/25/2014.