institution
Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries
Mental Health Clinic/Center (Including Community Mental Health Center) in St Maries, Idaho
NPI 1144357369

Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries is a Mental Health Clinic/Center (Including Community Mental Health Center) based in St Maries, ID and is specialized in Mental Health (Including Community Mental Health Center). Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries practices in St Maries, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries is 1144357369 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries is 222 S 7Th St, St Maries, ID and can be reached out via phone at 208-245-2541 and via fax at 208-245-7131.

Location: 222 S 7Th St, St Maries, ID, 83861-0248
institution
Provider Profile Details
NPI Number
1144357369
Provider Name
Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries
Credential
Provider Entity Type
Organization
Address
222 S 7Th St, St Maries, ID, 83861-0248
Phone Number
208-245-2541
Fax Number
208-245-7131
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010018348 01 BLUE SHIELD
HW256 01 BLUE CROSS OF IDAHO
8073519 05 ID
institution
Provider Business Practice Location Address Details
Address
222 S 7Th St
City
State
Zip
83861-1847
Phone Number
208-245-2541
Fax Number
208-245-7131
person
Provider Business Mailing Address Details
Address
222 S 7Th St
City
State
Zip
83861-1847
Phone Number
208-245-2541
Fax Number
208-245-7131
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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