Idaho Dept Of Health & Welfare Reg Ii Cmh Grangeville

LBN: Idaho Dept Of Health & Welfare Reg Ii Cmh Grangeville
Idaho Dept Of Health & Welfare Reg Ii Cmh Grangeville is an health care organization with primary practice located at 216 S C St , Grangeville ID 83530-1342. 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 Ii Cmh Grangeville can be contacted via phone (208) 983-2300, or through Malone, Vicki R. via phone (208) 799-4440.

Contact Information

Primary practice address
216 S C St Grangeville ID 83530-1342
Fax: (208) 983-2400
Website:
Authorized official contact:
Name: Malone, Vicki R. MSW

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1427186063
LBN Legal business name Idaho Dept Of Health & Welfare Reg Ii Cmh Grangeville
DBA Doing business as
Authorized official Malone, Vicki R. MSW
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 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 1427186063 NPPES
Idaho MEDICAID 8073495
Idaho Other HW140
Idaho Other 000010018450

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