Spectrum Connection Behavioral Health Llc

LBN: Spectrum Connection Behavioral Health Llc
Spectrum Connection Behavioral Health Llc is an health care organization with primary practice located at 1315 Highway 2 Ste 4 , Sandpoint ID 83864-2724. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Spectrum Connection Behavioral Health Llc can be contacted via phone (208) 261-2740, or through Ruguleiski, Cynthia D via phone (208) 261-2740.

Contact Information

Primary practice address
1315 Highway 2 Ste 4 Sandpoint ID 83864-2724
Fax: (208) 625-2062
Website:
Authorized official contact:
Name: Ruguleiski, Cynthia D Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1558076513
LBN Legal business name Spectrum Connection Behavioral Health Llc
DBA Doing business as
Authorized official Ruguleiski, Cynthia D Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2023
Last updated Jan 9th, 2024 - about 11 months 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 1558076513 NPPES
Idaho MEDICAID 806106400

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