Katherine Wacholz Agency

LBN: Katherine Wacholz Agency
Katherine Wacholz Agency is an health care organization with primary practice located at 5723 E Dodd Rd , Hayden Lake ID 83835-9376. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Katherine Wacholz Agency can be contacted via phone (208) 699-1704, or through Wacholz, Katherine Wacholz via phone (208) 699-1704.

Contact Information

Primary practice address
5723 E Dodd Rd Hayden Lake ID 83835-9376
Phone: (208) 699-1704
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wacholz, Katherine Wacholz M.ED BIP
Phone: (208) 699-1704

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1912542648
LBN Legal business name Katherine Wacholz Agency
DBA Doing business as
Authorized official Wacholz, Katherine Wacholz M.ED BIP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2019
Last updated Nov 18th, 2019 - about 5 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 1912542648 NPPES
Idaho MEDICAID 84-2522234

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