METABOLIC HEALTH AND LONGEVITY CENTER – NPI #1912270661
Clinic/Center

METABOLIC HEALTH AND LONGEVITY CENTER is an AHC clinic located in EAGLE, ID. NPPES has assigned the NPI number 1912270661 to METABOLIC HEALTH AND LONGEVITY CENTER 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 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

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 METABOLIC HEALTH AND LONGEVITY CENTER below.

NPI Profile for
METABOLIC HEALTH AND LONGEVITY CENTER

NPI Number
1912270661
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
METABOLIC HEALTH AND LONGEVITY CENTER
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
261QH0100X
- Clinic/Center / Health Service (Primary)		 ID NP-784A

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.