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State Of Idaho Department Of Health And Welfare
Psychiatric Hospital in Blackfoot, Idaho
NPI 1992789101

State Of Idaho Department Of Health And Welfare is a Psychiatric Hospital based in Blackfoot, ID. State Of Idaho Department Of Health And Welfare practices in Blackfoot, ID. The NPI Number for State Of Idaho Department Of Health And Welfare is 1992789101 and holds a License No. #17 (Idaho).

The current practice location address for State Of Idaho Department Of Health And Welfare is 700 East Alice, Blackfoot, ID and can be reached out via phone at 208-785-1200 and via fax at 208-785-8518.

Location: 700 East Alice, Blackfoot, ID, 83221-4925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992789101
Provider Name
State Of Idaho Department Of Health And Welfare
Credential
Provider Entity Type
Organization
Address
700 East Alice, Blackfoot, ID, 83221-4925
Phone Number
208-785-1200
Fax Number
208-785-8518
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00844 01 ID BLUE CROSS OF IDAHO
002821500 05 ID
20315 01 ID REGENCE BLUE SHIELD OF ID
institution
Provider Business Practice Location Address Details
Address
700 East Alice
City
Blackfoot
State
Idaho
Zip
83221
Phone Number
208-785-1200
Fax Number
208-785-8518
person
Provider Business Mailing Address Details
Address
700 East Alice
City
Blackfoot
State
Idaho
Zip
83221
Phone Number
208-785-1200
Fax Number
208-785-8518
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
#17 (Idaho)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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