Brick House Recovery - Coeur D'Alene Gop
LBN: Brick House Recovery - Coeur D'Alene Gop
Brick House Recovery - Coeur D'Alene Gop is an health care organization with primary practice located at 3918 N Schreiber Way Ste B , Coeur D Alene ID 83815-8395. The organization recently has 3 registered licenses in different health care specialties including Agencies / Nursing Care, Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Brick House Recovery - Coeur D'Alene Gop can be contacted via phone (801) 350-1716, or through Coombs, Jason D via phone (801) 350-1716.
Contact Information
Primary practice address
3918 N Schreiber Way Ste B
Coeur D Alene ID 83815-8395
Phone: (801) 350-1716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Nursing Care | 251J00000X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1316660467 |
|---|---|
| LBN Legal business name | Brick House Recovery - Coeur D'Alene Gop |
| DBA Doing business as | |
| Authorized official | Coombs, Jason D MPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 23rd, 2022 |
| Last updated | Sep 23rd, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316660467 | NPPES |
| Idaho | Other | 1477276194 | NPI COEUR D'ALENE |
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