Organization · Type 2 NPI

Healing Sanctuary LLC

Clinic/Center · Idaho Falls, ID

NPI number 1346799483 Active

Practice location

187 E 13th St
Idaho Falls, ID 83404-5305

Fax (208) 497-0505

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed
Primary Care Clinic/Center	261QP2300X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3 other providers at this address

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NPI record

NPI: 1346799483
Entity type: Organization (Type 2)
Issued: Sep 30, 2016
Last updated: Dec 19, 2023
Status: Active

Other names

<unavail>
The Healing Sanctuary LLC · doing business as
The Healing Sanctuary LLC · doing business as

Authorized official

Becky Watson
Billing Supervisor
(208) 497-0500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346799483

Healing Sanctuary LLC's National Provider Identifier is 1346799483, issued on Sep 30, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Dec 19, 2023.