Elks Rehab

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

908 Issued in ID

Legal business name

ELKS REHAB

Practice address

405 W Myrtle St
Boise, ID 83702-7658

Phone

(208) 489-5880

NPI assigned

Jun 3, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Welsh

Title

Enrolment Speacialist

Phone

(208) 489-4635

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1669819496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W MYRTLE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W MYRTLE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027658",
            "telephone_number": "208-489-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "WELSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ENROLMENT SPEACIALIST",
        "authorized_official_telephone_number": "208-489-4635"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "ID",
            "license": "908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Hospital Unit in Boise, ID
• Providers in Boise, ID by specialty
• Rehabilitation Hospital Unit in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.