NPI age
10 years
Enumerated 2015-09-25
● Active Type 2 · Organization
Brent Leavitt
Brent Leavitt is 1 of 55 general acute care hospital organizations in Idaho.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Leavitt
Owner
Last NPPES update
2015-09-25
Source: monthly bulk 2026-05
How this organization compares
Across 55 active general acute care hospital providers in Idaho.
NPI age
10 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-09Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
4928 Pleasant View Dr
Chubbuck, ID 832021640
Mailing address
4928 Pleasant View Dr
Chubbuck, ID 832021640
Authorized official
Brent R Leavitt, PA-C
Owner
📞 2087609416
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Brent Leavitt Physician Assistant NPI 1740650548
Specialties
-
General Acute Care Hospital PrimaryDefinition to come.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
maximum security inc
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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