Idaho Dept Of Health & Welfare Region 4 Cmh Psr Boise
LBN: Idaho Dept Of Health & Welfare Region 4 Cmh Psr Boise
Idaho Dept Of Health & Welfare Region 4 Cmh Psr Boise is an health care organization with primary practice located at 1720 Westgate Dr Suite D, Boise ID 83704-7164. 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 Region 4 Cmh Psr Boise can be contacted via phone (208) 334-0792, or through Westcott, Gina via phone (208) 334-0969.
Contact Information
Primary practice address
1720 Westgate Dr Suite D
Boise ID 83704-7164
Phone: (208) 334-0792
Fax: (208) 334-0812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X |
Profile Details
| NPI number | 1891825824 |
|---|---|
| LBN Legal business name | Idaho Dept Of Health & Welfare Region 4 Cmh Psr Boise |
| DBA Doing business as | |
| Authorized official | Westcott, Gina Master of Arts (MA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 7th, 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 | 1891825824 | NPPES |
| Other | 000010019129 | BLUE SHIELD | |
| Other | HW090 | BLUE SHIELD | |
| MEDICAID | 0028402 | BLUE SHIELD |
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