Idaho Dept Of Health & Welfare Region 7 Cmh Psr Rexburg
LBN: Idaho Dept Of Health & Welfare Region 7 Cmh Psr Rexburg
Idaho Dept Of Health & Welfare Region 7 Cmh Psr Rexburg is an health care organization with primary practice located at 333 Walker Dr , Rexburg ID 83440-1657. 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 Rexburg can be contacted via phone (208) 359-4751, or through Bean, Melissa M via phone (208) 528-5706.
Contact Information
Primary practice address
333 Walker Dr
Rexburg ID 83440-1657
Phone: (208) 359-4751
Fax: (208) 359-5461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X |
Profile Details
| NPI number | 1508992926 |
|---|---|
| LBN Legal business name | Idaho Dept Of Health & Welfare Region 7 Cmh Psr Rexburg |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508992926 | NPPES |
| Other | 000010019677 | BLUE SHIELD | |
| MEDICAID | 8073802 | BLUE SHIELD | |
| Other | HW157 | BLUE SHIELD |
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