institution
Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry
Mental Health Clinic/Center (Including Community Mental Health Center) in Bonners Ferry, Idaho
NPI 1376670091

Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Bonners Ferry, ID and is specialized in Mental Health (Including Community Mental Health Center). Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry practices in Bonners Ferry, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry is 1376670091 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry is Rt 4 6522 Tamarack Ln, Bonners Ferry, ID and can be reached out via phone at 208-267-3187 and via fax at 208-267-3251.

Location: Rt 4 6522 Tamarack Ln, Bonners Ferry, ID, 83805-9805
institution
Provider Profile Details
NPI Number
1376670091
Provider Name
Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry
Credential
Provider Entity Type
Organization
Address
Rt 4 6522 Tamarack Ln, Bonners Ferry, ID, 83805-9805
Phone Number
208-267-3187
Fax Number
208-267-3251
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8073521 05 ID
000010018348 01 BLUE SHIELD
HW256 01 BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
Rt 4 6522 Tamarack Ln
City
State
Zip
83805-9805
Phone Number
208-267-3187
Fax Number
208-267-3251
person
Provider Business Mailing Address Details
Address
Rt 4 6522 Tamarack Ln
City
State
Zip
83805-9805
Phone Number
208-267-3187
Fax Number
208-267-3251
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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