Idaho Dept Of Health & Welfare Amh Clinic Mccall

LBN: Idaho Dept Of Health & Welfare Amh Clinic Mccall
Idaho Dept Of Health & Welfare Amh Clinic Mccall is an health care organization with primary practice located at 299 S 3Rd St , Mccall ID 83638-5020. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Idaho Dept Of Health & Welfare Amh Clinic Mccall can be contacted via phone (208) 634-2228, or through Westcott, Gina via phone (208) 334-0969.

Contact Information

Primary practice address
299 S 3Rd St Mccall ID 83638-5020
Fax: (208) 634-3510
Website:
Authorized official contact:
Name: Westcott, Gina Master of Arts (MA)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1821128794
LBN Legal business name Idaho Dept Of Health & Welfare Amh Clinic Mccall
DBA Doing business as
Authorized official Westcott, Gina Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1821128794 NPPES
Other 000010018973 BLUE SHIELD
Other HW280 BLUE SHIELD
MEDICAID 8073420 BLUE SHIELD

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