institution
Idaho Dept Of Health & Welfare Reg 7 Amh Bf
Mental Health Clinic/Center (Including Community Mental Health Center) in Blackfoot, Idaho
NPI 1114058179

Idaho Dept Of Health & Welfare Reg 7 Amh Bf is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Blackfoot, ID and is specialized in Mental Health (Including Community Mental Health Center). Idaho Dept Of Health & Welfare Reg 7 Amh Bf practices in Blackfoot, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg 7 Amh Bf is 1114058179 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg 7 Amh Bf is 720 E Alice, Blackfoot, ID and can be reached out via phone at 208-785-5871 and via fax at 208-785-5877.

Location: 720 E Alice, Blackfoot, ID, 83221-0129
institution
Provider Profile Details
NPI Number
1114058179
Provider Name
Idaho Dept Of Health & Welfare Reg 7 Amh Bf
Credential
Provider Entity Type
Organization
Address
720 E Alice, Blackfoot, ID, 83221-0129
Phone Number
208-785-5871
Fax Number
208-785-5877
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8073683 05 ID
000010019479 01 ID BLUE SHIELD
HW181 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
720 E Alice
City
State
Zip
83221-0129
Phone Number
208-785-5871
Fax Number
208-785-5877
person
Provider Business Mailing Address Details
Address
720 E Alice
City
State
Zip
83221-0129
Phone Number
208-785-5871
Fax Number
208-785-5877
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.
()
Definition
Definition to come...
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