State Hospital North

LBN: State Of Idaho Department Of Health And Welfare
State Hospital North is an health care organization with primary practice located at 300 Hospital Drive , Orofino ID 83544-9034. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. State Of Idaho Department Of Health And Welfare can be contacted via phone (208) 476-4511, or through Shackelford, Teresa via phone (208) 476-4511.

Contact Information

Primary practice address
300 Hospital Drive Orofino ID 83544-9034
Fax: (208) 476-7898
Website:
Authorized official contact:
Name: Shackelford, Teresa

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 24 Idaho

Profile Details

NPI number 1598831653
LBN Legal business name State Of Idaho Department Of Health And Welfare
DBA Doing business as State Hospital North
Authorized official Shackelford, Teresa
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Jun 6th, 2024 - about 6 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 1598831653 NPPES
Idaho Other 00919 BLUE CROSS OF IDAHO
Idaho Other 1400501 BLUE CROSS OF IDAHO

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