Idaho Dept Of Health & Welfare R5 Amh Cl

LBN: Idaho Dept Of Health & Welfare R5 Amh Cl
Idaho Dept Of Health & Welfare R5 Amh Cl is an health care organization with primary practice located at 823 Harrison St , Twin Falls ID 83301-3925. 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 R5 Amh Cl can be contacted via phone (208) 736-2177, or through Morton, Duke via phone (208) 736-2177.

Contact Information

Primary practice address
823 Harrison St Twin Falls ID 83301-3925
Phone: (208) 736-2177
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morton, Duke
Phone: (208) 736-2177

Health care specialties

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

Profile Details

NPI number 1720119225
LBN Legal business name Idaho Dept Of Health & Welfare R5 Amh Cl
DBA Doing business as
Authorized official Morton, Duke
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 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 1720119225 NPPES
Idaho Other 000010025421 BLUESHIELD
Idaho Other HW173 BLUESHIELD
Idaho MEDICAID 0028319 BLUESHIELD

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