institution
Idaho Dept Of Health &welfare Reg 6 Cmh Psr P
Rehabilitation Clinic/Center in Pocatello, Idaho
NPI 1497887871

Idaho Dept Of Health &welfare Reg 6 Cmh Psr P is a Rehabilitation Clinic/Center based in Pocatello, ID and is specialized in Rehabilitation. Idaho Dept Of Health &welfare Reg 6 Cmh Psr P practices in Pocatello, ID. The NPI Number for Idaho Dept Of Health &welfare Reg 6 Cmh Psr P is 1497887871 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health &welfare Reg 6 Cmh Psr P is 421 Memorial Dr, Pocatello, ID and can be reached out via phone at 208-234-7900 and via fax at 208-236-6328. You can also correspond with Idaho Dept Of Health &welfare Reg 6 Cmh Psr P through the mailing address at 421 MEMORIAL DR, POCATELLO, ID - 83201-4008 (mailing address contact number: 208-234-7900).

Location: 421 Memorial Dr, Pocatello, ID, 83201-4008
institution
Provider Profile Details
NPI Number
1497887871
Provider Name
Idaho Dept Of Health &welfare Reg 6 Cmh Psr P
Credential
Provider Entity Type
Organization
Address
421 Memorial Dr, Pocatello, ID, 83201-4008
Phone Number
208-234-7900
Fax Number
208-236-6328
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0028412 05 ID
HW157 01 ID BLUE CROSS OF IDAHO
000010019402 01 ID BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
421 Memorial Dr
City
State
Zip
83201-4008
Phone Number
208-234-7900
Fax Number
208-236-6328
person
Provider Business Mailing Address Details
Address
421 Memorial Dr
City
State
Zip
83201-4008
Phone Number
208-234-7900
Fax Number
208-236-6328
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
License No.
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Definition
Definition to come...
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