Idaho Dept Of Health & Welfare Reg 1 Amh Cm Cda

LBN: Idaho Dept Of Health & Welfare Reg 1 Amh Cm Cda
Idaho Dept Of Health & Welfare Reg 1 Amh Cm Cda is an health care organization with primary practice located at 2195 Ironwood Ct , Coeur D Alene ID 83814-2628. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Idaho Dept Of Health & Welfare Reg 1 Amh Cm Cda can be contacted via phone (208) 769-1406, or through Gussenhoven, Cora Jo via phone (208) 769-1406.

Contact Information

Primary practice address
2195 Ironwood Ct Coeur D Alene ID 83814-2628
Phone: (208) 769-1406
Fax: (208) 769-1430
Website:
Map and Directions
Authorized official contact:
Name: Gussenhoven, Cora Jo
Phone: (208) 769-1406

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1801923677
LBN Legal business name Idaho Dept Of Health & Welfare Reg 1 Amh Cm Cda
DBA Doing business as
Authorized official Gussenhoven, Cora Jo
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801923677 NPPES
Idaho MEDICAID 0028455

Popular Providers