Human Supports Of Idaho, Inc

LBN: Human Supports Of Idaho, Inc
Human Supports Of Idaho, Inc is an health care organization with primary practice located at 314 Badiola St , Caldwell ID 83605-4389. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Human Supports Of Idaho, Inc can be contacted via phone (208) 454-8389, or through Dickerson, Gregory Leroy via phone (208) 321-0160.

Contact Information

Primary practice address
314 Badiola St Caldwell ID 83605-4389
Phone: (208) 454-8389
Fax: (208) 454-8404
Website:
Map and Directions
Authorized official contact:
Name: Dickerson, Gregory Leroy LMSW
Phone: (208) 321-0160

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1972646511
LBN Legal business name Human Supports Of Idaho, Inc
DBA Doing business as
Authorized official Dickerson, Gregory Leroy LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Sep 30th, 2013 - about 11 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 1972646511 NPPES
Idaho MEDICAID 807338200

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