Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda
LBN: Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda
Idaho Dept Of Health & Welfare Reg 1 Amh Psr 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 Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Idaho Dept Of Health & Welfare Reg 1 Amh Psr 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1023145893 |
|---|---|
| LBN Legal business name | Idaho Dept Of Health & Welfare Reg 1 Amh Psr 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023145893 | NPPES |
| Idaho | MEDICAID | 0028407 | |
| Idaho | Other | 000010018348 | |
| Idaho | Other | HW256 |
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