institution
Idaho Dept Of Health & Welfare Reg Ii Amh Grangeville
Mental Health Clinic/Center (Including Community Mental Health Center) in Grangeville, Idaho
NPI 1578691614

Idaho Dept Of Health & Welfare Reg Ii Amh Grangeville is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Grangeville, ID and is specialized in Mental Health (Including Community Mental Health Center). Idaho Dept Of Health & Welfare Reg Ii Amh Grangeville practices in Grangeville, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg Ii Amh Grangeville is 1578691614 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg Ii Amh Grangeville is 216 S C St, Grangeville, ID and can be reached out via phone at 208-983-2300 and via fax at 208-983-2440.

Location: 216 S C St, Grangeville, ID, 83530-0548
institution
Provider Profile Details
NPI Number
1578691614
Provider Name
Idaho Dept Of Health & Welfare Reg Ii Amh Grangeville
Credential
Provider Entity Type
Organization
Address
216 S C St, Grangeville, ID, 83530-0548
Phone Number
208-983-2300
Fax Number
208-983-2440
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HW264 01 BLUE CROSS OF IDAHO
8073806 05 ID
000010018440 01 BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
216 S C St
City
State
Zip
83530-1342
Phone Number
208-983-2300
Fax Number
208-983-2440
person
Provider Business Mailing Address Details
Address
216 S C St
City
State
Zip
83530-1342
Phone Number
208-983-2300
Fax Number
208-983-2440
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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