institution
Idaho Dept Of Health & Welfare Reg. Ii Amh Orofino
Mental Health Clinic/Center (Including Community Mental Health Center) in Orofino, Idaho
NPI 1235267055

Idaho Dept Of Health & Welfare Reg. Ii Amh Orofino is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Orofino, ID and is specialized in Mental Health (Including Community Mental Health Center). Idaho Dept Of Health & Welfare Reg. Ii Amh Orofino practices in Orofino, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg. Ii Amh Orofino is 1235267055 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg. Ii Amh Orofino is 416 Johnson Ave, Orofino, ID and can be reached out via phone at 208-476-7703 and via fax at 208-476-3636.

Location: 416 Johnson Ave, Orofino, ID, 83544-0712
institution
Provider Profile Details
NPI Number
1235267055
Provider Name
Idaho Dept Of Health & Welfare Reg. Ii Amh Orofino
Credential
Provider Entity Type
Organization
Address
416 Johnson Ave, Orofino, ID, 83544-0712
Phone Number
208-476-7703
Fax Number
208-476-3636
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HW264 01 BLUE CROSS OF IDAHO
000010018440 01 BLUE SHIELD
8073805 05 ID
institution
Provider Business Practice Location Address Details
Address
416 Johnson Ave
City
State
Zip
83544-9516
Phone Number
208-476-7703
Fax Number
208-476-3636
person
Provider Business Mailing Address Details
Address
416 Johnson Ave
City
State
Zip
83544-9516
Phone Number
208-476-7703
Fax Number
208-476-3636
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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