institution
Idahodhwbh Payettamhclinic
Adult Mental Health Clinic/Center in Payette, Idaho
NPI 1558498097

Idahodhwbh Payettamhclinic is an Adult Mental Health Clinic/Center based in Payette, ID and is specialized in Adult Mental Health. Idahodhwbh Payettamhclinic practices in Payette, ID. The NPI Number for Idahodhwbh Payettamhclinic is 1558498097 and holds a License No. (Idaho).

The current practice location address for Idahodhwbh Payettamhclinic is 515 16Th Ave N, Payette, ID and can be reached out via phone at 208-642-6416 and via fax at 208-642-2829.

Location: 515 16Th Ave N, Payette, ID, 83661-2047
institution
Provider Profile Details
NPI Number
1558498097
Provider Name
Idahodhwbh Payettamhclinic
Credential
Provider Entity Type
Organization
Address
515 16Th Ave N, Payette, ID, 83661-2047
Phone Number
208-642-6416
Fax Number
208-642-2829
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010027633 01 ID BLUESHIELD
HW298 01 ID BLUE CROSS OF IDAHO
8073592 05 ID
institution
Provider Business Practice Location Address Details
Address
515 16Th Ave N
City
State
Zip
83661-2047
Phone Number
208-642-6416
Fax Number
208-642-2829
person
Provider Business Mailing Address Details
Address
515 16Th Ave N
City
State
Zip
83661-2047
Phone Number
208-642-6416
Fax Number
208-642-2829
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
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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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