Childrens Supportive Services Incorporated

LBN: Childrens Supportive Services Incorporated
Childrens Supportive Services Incorporated is an health care organization with primary practice located at 625 W Pacific St Suite 2, Blackfoot ID 83221-2034. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Childrens Supportive Services Incorporated can be contacted via phone (208) 524-8996, or through Crane, Cathie via phone (208) 524-8996.

Contact Information

Primary practice address
625 W Pacific St Suite 2 Blackfoot ID 83221-2034
Phone: (208) 524-8996
Fax: (208) 524-1205
Website:
Map and Directions
Authorized official contact:
Name: Crane, Cathie
Phone: (208) 524-8996

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1407074636
LBN Legal business name Childrens Supportive Services Incorporated
DBA Doing business as
Authorized official Crane, Cathie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Dec 2nd, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407074636 NPPES
Idaho MEDICAID 807354200

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