Idaho Dept Of Health &Welfare Reg 6 Cmh Psr P

LBN: Idaho Dept Of Health &Welfare Reg 6 Cmh Psr P
Idaho Dept Of Health &Welfare Reg 6 Cmh Psr P is an health care organization with primary practice located at 421 Memorial Dr , Pocatello ID 83201-4008. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Idaho Dept Of Health &Welfare Reg 6 Cmh Psr P can be contacted via phone (208) 234-7900, or through Weers, Ritchie via phone (208) 234-7900.

Contact Information

Primary practice address
421 Memorial Dr Pocatello ID 83201-4008
Phone: (208) 234-7900
Fax: (208) 236-6328
Website:
Map and Directions
Authorized official contact:
Name: Weers, Ritchie
Phone: (208) 234-7900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1497887871
LBN Legal business name Idaho Dept Of Health &Welfare Reg 6 Cmh Psr P
DBA Doing business as
Authorized official Weers, Ritchie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Oct 22nd, 2010 - about 14 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 1497887871 NPPES
Idaho MEDICAID 0028412
Idaho Other HW157
Idaho Other 000010019402

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