Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow

LBN: Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow
Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow is an health care organization with primary practice located at 1350 Troy Hwy , Moscow ID 83543-3995. 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 Moscow can be contacted via phone (208) 882-0562, or through Malone, Vicki R. via phone (208) 799-4440.

Contact Information

Primary practice address
1350 Troy Hwy Moscow ID 83543-3995
Phone: (208) 882-0562
Fax: (208) 882-8575
Website:
Map and Directions
Authorized official contact:
Name: Malone, Vicki R. MSW
Phone: (208) 799-4440

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1720116551
LBN Legal business name Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow
DBA Doing business as
Authorized official Malone, Vicki R. MSW
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 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 1720116551 NPPES
Other 000010018450 BLUE SHIELD
Other HW140 BLUE SHIELD
MEDICAID 8073500 BLUE SHIELD

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