Idaho Dept Of Health & Welfare Region 7 Cmh Psr If

LBN: Idaho Dept Of Health & Welfare Region 7 Cmh Psr If
Idaho Dept Of Health & Welfare Region 7 Cmh Psr If is an health care organization with primary practice located at 150 Shoup Ave Suite 17, Idaho Falls ID 83402-3657. 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 7 Cmh Psr If can be contacted via phone (208) 528-5700, or through Bean, Melissa M via phone (208) 528-5706.

Contact Information

Primary practice address
150 Shoup Ave Suite 17 Idaho Falls ID 83402-3657
Fax: (208) 528-5747
Website:
Authorized official contact:
Name: Bean, Melissa M Master of Arts (MA)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1881720209
LBN Legal business name Idaho Dept Of Health & Welfare Region 7 Cmh Psr If
DBA Doing business as
Authorized official Bean, Melissa M Master of Arts (MA)
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881720209 NPPES
Other 000010019677 BLUE SHIELD
MEDICAID 0028413 BLUE SHIELD
Other HW157 BLUE SHIELD

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