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Idaho Dept Of Health & Welfare Amh Clinic Mh
Adult Mental Health Clinic/Center in Mountain Home, Idaho
NPI 1760512644

Idaho Dept Of Health & Welfare Amh Clinic Mh is an Adult Mental Health Clinic/Center based in Boise, ID and is specialized in Adult Mental Health. Idaho Dept Of Health & Welfare Amh Clinic Mh practices in Mountain Home, ID. The NPI Number for Idaho Dept Of Health & Welfare Amh Clinic Mh is 1760512644 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Amh Clinic Mh is 2420 American Legion Blvd, Mountain Home, ID and can be reached out via phone at 208-587-9061 and via fax at 208-587-5024.

Location: 2420 American Legion Blvd, Mountain Home, ID, 83704-7164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760512644
Provider Name
Idaho Dept Of Health & Welfare Amh Clinic Mh
Credential
Provider Entity Type
Organization
Address
2420 American Legion Blvd, Mountain Home, ID, 83704-7164
Phone Number
208-587-9061
Fax Number
208-587-5024
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8075987 05 ID
HW280 01 BLUE CROSS OF IDAHO
000010018973 01 BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2420 American Legion Blvd
City
Mountain Home
State
Idaho
Zip
83647-3146
Phone Number
208-587-9061
Fax Number
208-587-5024
person
Provider Business Mailing Address Details
Address
2420 American Legion Blvd
City
Mountain Home
State
Idaho
Zip
83647-3146
Phone Number
208-587-9061
Fax Number
208-587-5024
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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