institution
Idaho Dept Of Health & Welfare Region 7 Amh Psr If
Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho Falls, Idaho
NPI 1275669152

Idaho Dept Of Health & Welfare Region 7 Amh Psr If is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Idaho Falls, ID and is specialized in Mental Health (Including Community Mental Health Center). Idaho Dept Of Health & Welfare Region 7 Amh Psr If practices in Idaho Falls, ID. The NPI Number for Idaho Dept Of Health & Welfare Region 7 Amh Psr If is 1275669152 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Region 7 Amh Psr If is 150 Shoup Ave, Idaho Falls, ID and can be reached out via phone at 208-528-5700 and via fax at 208-528-5747.

Location: 150 Shoup Ave, Idaho Falls, ID, 83402-3657
institution
Provider Profile Details
NPI Number
1275669152
Provider Name
Idaho Dept Of Health & Welfare Region 7 Amh Psr If
Credential
Provider Entity Type
Organization
Address
150 Shoup Ave, Idaho Falls, ID, 83402-3657
Phone Number
208-528-5700
Fax Number
208-528-5747
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HW181 01 BLUE CROSS OF IDAHO
000010019479 01 BLUE SHIELD
0028410 05 ID
institution
Provider Business Practice Location Address Details
Address
150 Shoup Ave
City
State
Zip
83402-3657
Phone Number
208-528-5700
Fax Number
208-528-5747
person
Provider Business Mailing Address Details
Address
150 Shoup Ave
City
State
Zip
83402-3657
Phone Number
208-528-5700
Fax Number
208-528-5747
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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