institution
Idahodhwbh3 Payette Cmh Psr
Rehabilitation Clinic/Center in Payette, Idaho
NPI 1154459444

Idahodhwbh3 Payette Cmh Psr is a Rehabilitation Clinic/Center based in Payette, ID and is specialized in Rehabilitation. Idahodhwbh3 Payette Cmh Psr practices in Payette, ID. The NPI Number for Idahodhwbh3 Payette Cmh Psr is 1154459444 and holds a License No. (Idaho).

The current practice location address for Idahodhwbh3 Payette Cmh Psr is 515 16Th Ave N, Payette, ID and can be reached out via phone at 208-642-6416 and via fax at 208-642-2829.

Location: 515 16Th Ave N, Payette, ID, 83661-2047
institution
Provider Profile Details
NPI Number
1154459444
Provider Name
Idahodhwbh3 Payette Cmh Psr
Credential
Provider Entity Type
Organization
Address
515 16Th Ave N, Payette, ID, 83661-2047
Phone Number
208-642-6416
Fax Number
208-642-2829
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8073442 05 ID
HW348 01 BLUE CROSS OF IDAHO
000010018824 01 BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
515 16Th Ave N
City
State
Zip
83661-2047
Phone Number
208-642-6416
Fax Number
208-642-2829
person
Provider Business Mailing Address Details
Address
515 16Th Ave N
City
State
Zip
83661-2047
Phone Number
208-642-6416
Fax Number
208-642-2829
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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