RENU MEDISPA – NPI #1407129125
Clinic/Center

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).

Health Care Provider Taxonomy Code for Clinic/Center

RENU MEDISPA is an AHC clinic located in EAGLE, ID. NPPES has assigned the NPI number 1407129125 to RENU MEDISPA on February 10, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 14 years ago on Apr 30, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENU MEDISPA below.

NPI Profile for
RENU MEDISPA

NPI Number
1407129125
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RENU MEDISPA
Primary location
951 E PLAZA DR
SUITE 150
EAGLE, ID 83616-6566
Phone: (208) 939-4456 Fax: (208) 287-2200
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TAWNI WEAVER
DIRECTOR
Phone: (208) 939-4456
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 ID NP784A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.