Provider Demographics
NPI:1124807011
Name:BEE HEALTHY
Entity type:Organization
Organization Name:BEE HEALTHY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-547-7088
Mailing Address - Street 1:205 STOCKHAM BLVD STE C-2
Mailing Address - Street 2:
Mailing Address - City:RIGBY
Mailing Address - State:ID
Mailing Address - Zip Code:83442-5285
Mailing Address - Country:US
Mailing Address - Phone:208-417-4899
Mailing Address - Fax:
Practice Address - Street 1:205 STOCKHAM BLVD STE C-2
Practice Address - Street 2:
Practice Address - City:RIGBY
Practice Address - State:ID
Practice Address - Zip Code:83442-5285
Practice Address - Country:US
Practice Address - Phone:208-417-4899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center