institution
Cedar Health Center
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Pocatello, Idaho
NPI 1184764755

Cedar Health Center is a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist based in Pocatello, ID and is specialized in Psychiatric/Mental Health, Child & Adolescent. Cedar Health Center practices in Pocatello, ID. The NPI Number for Cedar Health Center is 1184764755 and holds a License No. CNS-15A,N-28258 (Idaho).

The current practice location address for Cedar Health Center is 427 N Arthur Ave Ste B, Pocatello, ID and can be reached out via phone at 208-233-2998 and via fax at 208-232-0881.

Location: 427 N Arthur Ave Ste B, Pocatello, ID, 83204-3006
institution
Provider Profile Details
NPI Number
1184764755
Provider Name
Cedar Health Center
Credential
Provider Entity Type
Organization
Address
427 N Arthur Ave Ste B, Pocatello, ID, 83204-3006
Phone Number
208-233-2998
Fax Number
208-232-0881
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00001014993 01 ID REGENCE BLUE SHIELD
NPSB4 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
427 N Arthur Ave Ste B
City
State
Zip
83204-3006
Phone Number
208-233-2998
Fax Number
208-232-0881
person
Provider Business Mailing Address Details
Address
427 N Arthur Ave Ste B
City
State
Zip
83204-3006
Phone Number
208-233-2998
Fax Number
208-232-0881
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
CNS-15A,N-28258 (Idaho)
Definition
Definition to come...
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