institution
Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda
Rehabilitation Clinic/Center in Coeur D Alene, Idaho
NPI 1164550455

Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda is a Rehabilitation Clinic/Center based in Coeur D Alene, ID and is specialized in Rehabilitation. Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda practices in Coeur D Alene, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda is 1164550455 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda is 1250 Ironwood Dr Ste 100, Coeur D Alene, ID and can be reached out via phone at 208-769-1515 and via fax at 208-666-6744.

Location: 1250 Ironwood Dr Ste 100, Coeur D Alene, ID, 83814-2628
institution
Provider Profile Details
NPI Number
1164550455
Provider Name
Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda
Credential
Provider Entity Type
Organization
Address
1250 Ironwood Dr Ste 100, Coeur D Alene, ID, 83814-2628
Phone Number
208-769-1515
Fax Number
208-666-6744
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HW199 01 BLUE CROSS OF IDAHO
000010018348 01 BLUE SHIELD
0028408 05 ID
institution
Provider Business Practice Location Address Details
Address
1250 Ironwood Dr Ste 100
City
State
Zip
83814-2628
Phone Number
208-769-1515
Fax Number
208-666-6744
person
Provider Business Mailing Address Details
Address
1250 Ironwood Dr Ste 100
City
State
Zip
83814-2628
Phone Number
208-769-1515
Fax Number
208-666-6744
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
License No.
()
Definition
Definition to come...
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