Idaho Dept Of Health & Welfare Amhcalpgreg3 in Caldwell - Prescribing (medical)
Idaho Dept Of Health & Welfare Amhcalpgreg3 - NPI 1104004928
Idaho Dept Of Health & Welfare Amhcalpgreg3 is a Prescribing (medical) in Caldwell, Idaho. Idaho Dept Of Health & Welfare Amhcalpgreg3 practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Idaho Dept Of Health & Welfare Amhcalpgreg3 is 1104004928. The last update date is 2009-01-28.
Idaho Dept Of Health & Welfare Amhcalpgreg3's current location address is 3402 Franklin Rd, Caldwell, Idaho. You can contact this provider via phone number 2084590092 and fax number 2084547714. The mailing address for Idaho Dept Of Health & Welfare Amhcalpgreg3 is 3402 Franklin Rd, Caldwell, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Dept Of Health & Welfare Amhcalpgreg3 |
|---|---|
| Address | 3402 Franklin Rd, Caldwell, Idaho |
| Phone Number | 2084590092 |
| Fax Number | 2084547714 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FIELD OPER |
|---|---|
| Authorized Official Name | Hurt L Todd |
| Credentials | MS |
| Telephone Number | 2084557057 |
NPI Number Detail
| NPI Number | 1104004928 |
|---|---|
| Provider Enumeration Date | 2008-02-04 |
| Last Updated Date | 2009-01-28 |
Provider Mailing Address Detail
| Address | 3402 Franklin Rd |
|---|---|
| City | Caldwell |
| State | Idaho (ID) |
| Post Code | 836056932 |
| Phone Number | 2084590092 |
| Fax Number | 2084547714 |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
|
Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HW298 | BLUE CROSS OF IDAHO | ||
| 8076191 | ID | -- | |
| 10027633 | ID | BLUESHIELD |
Post Comment/ Review Below
What is the Idaho Dept Of Health & Welfare Amhcalpgreg3's 1104004928?
The Idaho Dept Of Health & Welfare Amhcalpgreg3's NPI (National Provider Identifier) Number is 1104004928. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Idaho Dept Of Health & Welfare Amhcalpgreg3 is physically located?
The Idaho Dept Of Health & Welfare Amhcalpgreg3 is physically situated at the following address: 3402 Franklin Rd, Caldwell, ID, 836056932.
What is the Idaho Dept Of Health & Welfare Amhcalpgreg3's area of specialization and corresponding taxonomy classification?
The Idaho Dept Of Health & Welfare Amhcalpgreg3's specialty field is Prescribing (medical), and it falls under the taxonomy code 103Tp0016X, which categorizes healthcare providers based on their specialties.
On what date was the 1104004928 assigned to Idaho Dept Of Health & Welfare Amhcalpgreg3?
The Idaho Dept Of Health & Welfare Amhcalpgreg3 was issued its 1104004928 on 2008-02-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Idaho Dept Of Health & Welfare Amhcalpgreg3 most recently updated?
The details pertaining to the Idaho Dept Of Health & Welfare Amhcalpgreg3, including its address, specialty, and other relevant information, were last refreshed on 2009-01-28.
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