Idahodhwbh3 Nampa Cmh Psr

LBN: Idahodhwbh3 Nampa Cmh Psr
Idahodhwbh3 Nampa Cmh Psr is an health care organization with primary practice located at 823 Parkcentre Way , Nampa ID 83651-1783. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Idahodhwbh3 Nampa Cmh Psr can be contacted via phone (208) 465-8452, or through Hurt, Todd L via phone (208) 455-7057.

Contact Information

Primary practice address
823 Parkcentre Way Nampa ID 83651-1783
Phone: (208) 465-8452
Fax: (208) 465-8431
Website:
Map and Directions
Authorized official contact:
Name: Hurt, Todd L M.S.
Phone: (208) 455-7057

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1245368539
LBN Legal business name Idahodhwbh3 Nampa Cmh Psr
DBA Doing business as
Authorized official Hurt, Todd L M.S.
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 1245368539 NPPES
Other HW348 BLUE CROSS OF IDAHO
Other 000010018824 BLUE CROSS OF IDAHO
MEDICAID 8073441 BLUE CROSS OF IDAHO

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