Organization
INNOVATIVE HEALTH CARE CONCEPTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MICHELLE SMITH (PROGRAM DIRECTOR)
(208) 523-1130
Entity
Organization
Contact information
Practice address
115 E 16TH ST, IDAHO FALLS, ID 83404-5919
(208) 523-6727
(208) 523-6729
Mailing address
111 E 16TH ST, IDAHO FALLS, ID 83404-5919
(208) 523-1130
(208) 529-6501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2741600
—
ID
Enumeration date
10/18/2019
Last updated
06/02/2020
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