Night Boat Pllc is a healthcare organization in the REXBURG area. Night Boat Pllc primary office location is at 859 S YELLOWSTONE HWY STE 1202 and new patients are welcome to contact this healthcare organization for an appointment. The NPI number is 1013188804 and the information was updated approximately 10 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: Unknown
Participates in PECOS: NO
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 807793700 | ID |
| BLUECROSS OF IDAHO | 6P475 | ID |
| MEDICAID - IDAHO SMILES | 9202516 | - |
| REGENCE BLUESHIELD OF ID | 000010165079 | ID |
| Taxonomy | State | Primary? |
|---|---|---|
| Pediatric Dentist - Taxonomy Code 1223P0221X | -- | Y |
| Single Specialty Group - Taxonomy Code 193400000X | ID | N |