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Idaho Department Of Health & Welfare Region 7 Amh Clinic If
Adult Mental Health Clinic/Center in Idaho Falls, Idaho
NPI 1558497966

Idaho Department Of Health & Welfare Region 7 Amh Clinic If is an Adult Mental Health Clinic/Center based in Idaho Falls, ID and is specialized in Adult Mental Health. Idaho Department Of Health & Welfare Region 7 Amh Clinic If practices in Idaho Falls, ID. The NPI Number for Idaho Department Of Health & Welfare Region 7 Amh Clinic If is 1558497966 and holds a License No. (Idaho).

The current practice location address for Idaho Department Of Health & Welfare Region 7 Amh Clinic 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558497966
Provider Name
Idaho Department Of Health & Welfare Region 7 Amh Clinic 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
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8061288 05 ID
HW181 01 BLUE CROSS OF IDAHO
000010019677 01 BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
150 Shoup Ave
City
Idaho Falls
State
Idaho
Zip
83402-3657
Phone Number
208-528-5700
Fax Number
208-528-5747
person
Provider Business Mailing Address Details
Address
150 Shoup Ave
City
Idaho Falls
State
Idaho
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
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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