Provider Demographics
NPI:1437147279
Name:HEALING SENSE CORPORATION
Entity Type:Organization
Organization Name:HEALING SENSE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:N
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:208-377-5166
Mailing Address - Street 1:1075 N CURTIS RD
Mailing Address - Street 2:STE 100
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-1300
Mailing Address - Country:US
Mailing Address - Phone:208-377-5166
Mailing Address - Fax:208-375-0599
Practice Address - Street 1:1075 N CURTIS RD
Practice Address - Street 2:STE 100
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-1300
Practice Address - Country:US
Practice Address - Phone:208-377-5166
Practice Address - Fax:208-375-0599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDMAVIS 1075Medicaid
ID000010006427OtherBLUE SHIELD
IDC188OtherBLUE CROSS & TRUE BLUE
1371307Medicare ID - Type Unspecified