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State Of Idaho Department Of Health And Welfare
Clinic/Center in Blackfoot, Idaho
NPI 1538225545

State Of Idaho Department Of Health And Welfare is a Clinic/Center based in Blackfoot, ID. State Of Idaho Department Of Health And Welfare practices in Blackfoot, ID. The NPI Number for State Of Idaho Department Of Health And Welfare is 1538225545 and holds a License No. 17 (Idaho).

The current practice location address for State Of Idaho Department Of Health And Welfare is 700 E. Alice, Blackfoot, ID and can be reached out via phone at 208-785-1200 and via fax at 208-785-8518.

Location: 700 E. Alice, Blackfoot, ID, 83221-0400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538225545
Provider Name
State Of Idaho Department Of Health And Welfare
Credential
Provider Entity Type
Organization
Address
700 E. Alice, Blackfoot, ID, 83221-0400
Phone Number
208-785-1200
Fax Number
208-785-8518
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002823200 05 ID
institution
Provider Business Practice Location Address Details
Address
700 E. Alice
City
Blackfoot
State
Idaho
Zip
83221-0400
Phone Number
208-785-1200
Fax Number
208-785-8518
person
Provider Business Mailing Address Details
Address
700 E. Alice
City
Blackfoot
State
Idaho
Zip
83221-0400
Phone Number
208-785-1200
Fax Number
208-785-8518
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
17 (Idaho)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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