Organization
N.E.X.T. LEVEL HEALTH CENTER, INC.
Active
Organization
N.E.X.T. LEVEL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN TYRELL HAMMON D.C. (PRESIDENT)
(208) 528-6010
Entity
Organization
Contact information
Practice address
2105 NIAGARA, IDAHO FALLS, ID 83404
(208) 528-6010
(208) 528-6011
Mailing address
2105 NIAGARA ST., IDAHO FALLS, ID 83404
(208) 528-6010
(208) 528-6011
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
ACT-251
ID
261QH0100X
Health Service Clinic/Center
Primary
CHIA-1341
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808261500
—
ID
Enumeration date
10/11/2011
Last updated
12/09/2016
Update your record
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