SLEEP DISORDER CENTER OF EASTERN IDAHO, INC. – NPI #1427100270
Clinic/Center

SLEEP DISORDER CENTER OF EASTERN IDAHO, INC. is an AHC clinic located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1427100270 to SLEEP DISORDER CENTER OF EASTERN IDAHO, INC. on January 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Sleep Disorder Diagnostic

The NPI profile was previously updated about 17 years ago on Dec 18, 2008. 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 SLEEP DISORDER CENTER OF EASTERN IDAHO, INC. below.

NPI Profile for
SLEEP DISORDER CENTER OF EASTERN IDAHO, INC.

NPI Number
1427100270
Enumeration Date

(more than 19 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
SLEEP DISORDER CENTER OF EASTERN IDAHO, INC.
Primary location
2001 S WOODRUFF
STE 11
IDAHO FALLS, ID 83404
Phone: (208) 524-8044 Fax: (208) 525-8896
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SANDRA JACKSON
OWNER
Phone: (208) 524-8044
Updated
Identifiers

Identifiers for SLEEP DISORDER CENTER OF EASTERN IDAHO, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS8A646
OTHERBLUE SHIELD000010001762
MEDICAIDID805240900
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
261QS1200X
- Clinic/Center / Sleep Disorder Diagnostic (Primary)

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.