Provider Demographics
NPI:1730136490
Name:TANABELL HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:TANABELL HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:V
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-221-0481
Mailing Address - Street 1:1009 W QUINN RD
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83202-2425
Mailing Address - Country:US
Mailing Address - Phone:208-221-0481
Mailing Address - Fax:775-307-4049
Practice Address - Street 1:418 FLOYDE ST
Practice Address - Street 2:
Practice Address - City:MCCALL
Practice Address - State:ID
Practice Address - Zip Code:83638-4508
Practice Address - Country:US
Practice Address - Phone:208-634-2112
Practice Address - Fax:208-634-3605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID16314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID01255OtherBLUE CROSS OF IDAHO
ID850370802OtherCONSECO HEALTH INS CO
ID850370802OtherAMERICAN LIFE PIONEER
ID850370802OtherAARP UNITED HEALTHCARE
ID850370802OtherAETNA US HEALTHCARE
ID850370802OtherBC/BS OF FLORIDA
ID808110200Medicaid
ID850370802OtherAARP
ID850370802OtherREGENCE BLUE SHIELD
ID850370802OtherCIGNA
ID850370802OtherAMERICAN REPUBLIC IN CO
ID850370802OtherBLUE SHIELD OF IDAHO
ID850370802OtherAARP UNITED HEALTHCARE