Healthcare Provider Details

I. General information

NPI: 1063844728
Provider Name (Legal Business Name): BILLING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2013
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1758 PEGGYS LN
IDAHO FALLS ID
83402-1661
US

IV. Provider business mailing address

1758 PEGGYS LN
IDAHO FALLS ID
83402-1661
US

V. Phone/Fax

Practice location:
  • Phone: 208-589-1615
  • Fax: 208-557-0368
Mailing address:
  • Phone: 208-589-1615
  • Fax: 208-557-0368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: AMANDA LEE ELY
Title or Position: OWNER MANAGER
Credential:
Phone: 208-589-1615