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Corbett Sousa
Point of Service in Nampa, Idaho
NPI 1417442484

Corbett Sousa is a Point of Service based in Nampa, ID. Corbett Sousa practices in Nampa, ID. The NPI Number for Corbett Sousa is 1417442484 and holds a License No. 37239 (Idaho).

The current practice location address for Corbett Sousa is 16 12Th Ave S Ste 208, Nampa, ID and can be reached out via phone at 208-649-6048 and via fax at 208-906-2343.

Location: 16 12Th Ave S Ste 208, Nampa, ID, 83651-3937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417442484
Provider Name
Corbett Sousa
Credential
Provider Entity Type
Organization
Address
16 12Th Ave S Ste 208, Nampa, ID, 83651-3937
Phone Number
208-649-6048
Fax Number
208-906-2343
Provider Enumeration Date
06/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16 12Th Ave S Ste 208
City
Nampa
State
Idaho
Zip
83651-3937
Phone Number
208-649-6048
Fax Number
208-906-2343
person
Provider Business Mailing Address Details
Address
16 12Th Ave S Ste 208
City
Nampa
State
Idaho
Zip
83651-3937
Phone Number
208-649-6048
Fax Number
208-906-2343
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
37239 (Idaho)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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