Nava Reneda in Fort Hall - Addiction (substance Use Disorder)

Nava Reneda - NPI 1821252636

Nava Reneda is a Addiction (substance Use Disorder) in Fort Hall, Idaho. Nava Reneda practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Nava Reneda is 1821252636. The last update date is 2008-07-11.

Nava Reneda's current location address is Po Box 306, Fort Hall, Idaho. You can contact this provider via phone number 2082382400 and fax number 2082385462. The mailing address for Nava Reneda is Po Box 306, Fort Hall, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Nava Reneda
Address Po Box 306, Fort Hall, Idaho
Phone Number 2082382400
Fax Number 2082385462
Sole Proprietor N
Credentials CADC

NPI Number Detail

NPI Number 1821252636
Provider Enumeration Date 2008-07-11
Last Updated Date 2008-07-11

Provider Mailing Address Detail

Address Po Box 306
City Fort Hall
State Idaho (ID)
Post Code 832030306
Phone Number 2082382400
Fax Number 2082385462

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No IBADCC 11260
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3399100 ID --

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FAQs about Nava Reneda

What is the unique 10-digit identifier code issued to Nava Reneda by the Centers for Medicare & Medicaid Services?

The Nava Reneda has been assigned the NPI (National Provider Identifier) 1821252636 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Nava Reneda is physically located?

The Nava Reneda is situated at the following address: Po Box 306, Fort Hall, ID 832030306.

What is Nava Reneda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Nava Reneda's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date was the 1821252636 assigned to Nava Reneda?

The Nava Reneda was issued its 1821252636 on 2008-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Nava Reneda most recently updated or revised?

The information pertaining to Nava Reneda, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-11.

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