institution
Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston
Mental Health Clinic/Center (Including Community Mental Health Center) in Lewiston, Idaho
NPI 1073641262

Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lewiston, ID and is specialized in Mental Health (Including Community Mental Health Center). Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston practices in Lewiston, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston is 1073641262 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston is 1118 F St, Lewiston, ID and can be reached out via phone at 208-799-4440 and via fax at 208-799-5171.

Location: 1118 F St, Lewiston, ID, 83501-1930
institution
Provider Profile Details
NPI Number
1073641262
Provider Name
Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston
Credential
Provider Entity Type
Organization
Address
1118 F St, Lewiston, ID, 83501-1930
Phone Number
208-799-4440
Fax Number
208-799-5171
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010018440 01 BLUE SHIELD
HW264 01 BLUE CROSS OF IDAHO
0028419 05 ID
institution
Provider Business Practice Location Address Details
Address
1118 F St
City
State
Zip
83501-1930
Phone Number
208-799-4440
Fax Number
208-799-5171
person
Provider Business Mailing Address Details
Address
1118 F St
City
State
Zip
83501-1930
Phone Number
208-799-4440
Fax Number
208-799-5171
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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