Jesus Ortega in Gooding - Addiction (substance Use Disorder)

Jesus Ortega - NPI 1407020357

Jesus Ortega is a Addiction (substance Use Disorder) in Gooding, Idaho. Jesus Ortega practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jesus Ortega is 1407020357. The last update date is 2008-04-22.

Jesus Ortega's current location address is 605 11th Ave E, Gooding, Idaho. You can contact this provider via phone number 2089348461 and fax number 2089345437. The mailing address for Jesus Ortega is 605 11th Ave E, Gooding, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Jesus Ortega
Address 605 11th Ave E, Gooding, Idaho
Phone Number 2089348461
Fax Number 2089345437
Sole Proprietor Y
Credentials CADC

NPI Number Detail

NPI Number 1407020357
Provider Enumeration Date 2008-04-22
Last Updated Date 2008-04-22

Provider Mailing Address Detail

Address 605 11th Ave E
City Gooding
State Idaho (ID)
Post Code 833305368
Phone Number 2089348461
Fax Number 2089345437

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 1146006
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Jesus Ortega

What is the unique identification code assigned to Jesus Ortega by the Centers for Medicare & Medicaid Services?

The Jesus Ortega has been issued the NPI (National Provider Identifier) 1407020357. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jesus Ortega located?

The Jesus Ortega is located at 605 11Th Ave E, Gooding, ID 833305368.

What is Jesus Ortega's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jesus Ortega is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

On what date did Jesus Ortega receive its 1407020357 assignment from the Centers for Medicare & Medicaid Services?

The Jesus Ortega was assigned its 1407020357 on 2008-04-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jesus Ortega last refreshed?

The information related to the Jesus Ortega, including its address, specialty, and other relevant details, was last updated on 2008-04-22.

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