Organization
HNI MEDICAL SERVICES OF IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN CARLETTI (VP OF OPERATIONS)
(330) 727-3530
Entity
Organization
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(512) 730-3056
(888) 730-1925
Mailing address
7500 RIALTO BLVD STE 1-140, AUSTIN, TX 78735-8534
(512) 730-3056
(888) 730-1925
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063928638
—
ID
Enumeration date
12/19/2017
Last updated
08/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us