Sandra Ortiz in Fort Hall - Addiction (substance Use Disorder)
Sandra Ortiz - NPI 1396909024
Sandra Ortiz is a Addiction (substance Use Disorder) in Fort Hall, Idaho. Sandra Ortiz practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sandra Ortiz is 1396909024. The last update date is 2008-07-11.
Sandra Ortiz's current location address is East Agency Rd, Fort Hall, Idaho. You can contact this provider via phone number 2082382400 and fax number 2082385462. The mailing address for Sandra Ortiz is East Agency Rd, Fort Hall, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Ortiz |
|---|---|
| Address | East Agency Rd, Fort Hall, Idaho |
| Phone Number | 2082382400 |
| Fax Number | 2082385462 |
| Sole Proprietor | N |
| Credentials | ICADC |
NPI Number Detail
| NPI Number | 1396909024 |
|---|---|
| Provider Enumeration Date | 2008-07-11 |
| Last Updated Date | 2008-07-11 |
Provider Mailing Address Detail
| Address | East Agency Rd |
|---|---|
| City | Fort Hall |
| State | Idaho (ID) |
| Post Code | 83203 |
| Phone Number | 2082382400 |
| Fax Number | 2082385462 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | ICADC 22075 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3399100 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Sandra Ortiz by the Centers for Medicare & Medicaid Services (CMS)?
The Sandra Ortiz has been assigned the NPI (National Provider Identifier) 1396909024. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Sandra Ortiz is physically located?
The Sandra Ortiz is situated at the following address: East Agency Rd, Fort Hall, ID 83203.
What is Sandra Ortiz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sandra Ortiz is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396909024 to Sandra Ortiz?
The Centers for Medicare & Medicaid Services assigned the 1396909024 to Sandra Ortiz on 2008-07-11.
As of what date were the details related to Sandra Ortiz most recently updated or revised?
The information pertaining to Sandra Ortiz, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-11.
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