institution
Idahodhwbh3 Caldwell Cmh Psr
Rehabilitation Clinic/Center in Caldwell, Idaho
NPI 1063540359

Idahodhwbh3 Caldwell Cmh Psr is a Rehabilitation Clinic/Center based in Caldwell, ID and is specialized in Rehabilitation. Idahodhwbh3 Caldwell Cmh Psr practices in Caldwell, ID. The NPI Number for Idahodhwbh3 Caldwell Cmh Psr is 1063540359 and holds a License No. (Idaho).

The current practice location address for Idahodhwbh3 Caldwell Cmh Psr is 3402 Franklin Rd, Caldwell, ID and can be reached out via phone at 208-459-0092 and via fax at 208-454-7714.

Location: 3402 Franklin Rd, Caldwell, ID, 83605-6932
institution
Provider Profile Details
NPI Number
1063540359
Provider Name
Idahodhwbh3 Caldwell Cmh Psr
Credential
Provider Entity Type
Organization
Address
3402 Franklin Rd, Caldwell, ID, 83605-6932
Phone Number
208-459-0092
Fax Number
208-454-7714
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0028416 05 ID
000010018824 01 BLUESHIELD
HW348 01 BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
3402 Franklin Rd
City
State
Zip
83605-6932
Phone Number
208-459-0092
Fax Number
208-454-7714
person
Provider Business Mailing Address Details
Address
3402 Franklin Rd
City
State
Zip
83605-6932
Phone Number
208-459-0092
Fax Number
208-454-7714
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
License No.
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Definition
Definition to come...
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