institution
Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow
Rehabilitation Clinic/Center in Moscow, Idaho
NPI 1720116551

Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow is a Rehabilitation Clinic/Center based in Moscow, ID and is specialized in Rehabilitation. Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow practices in Moscow, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow is 1720116551 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow is 1350 Troy Hwy, Moscow, ID and can be reached out via phone at 208-882-0562 and via fax at 208-882-8575. You can also correspond with Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow through the mailing address at 1350 TROY HWY, MOSCOW, ID - 83543-3995 (mailing address contact number: 208-882-0562).

Location: 1350 Troy Hwy, Moscow, ID, 83543-3995
institution
Provider Profile Details
NPI Number
1720116551
Provider Name
Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow
Credential
Provider Entity Type
Organization
Address
1350 Troy Hwy, Moscow, ID, 83543-3995
Phone Number
208-882-0562
Fax Number
208-882-8575
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000010018450 01 BLUE SHIELD
HW140 01 BLUE CROSS OF IDAHO
8073500 05 ID
institution
Provider Business Practice Location Address Details
Address
1350 Troy Hwy
City
State
Zip
83543-3995
Phone Number
208-882-0562
Fax Number
208-882-8575
person
Provider Business Mailing Address Details
Address
1350 Troy Hwy
City
State
Zip
83543-3995
Phone Number
208-882-0562
Fax Number
208-882-8575
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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