Western Center For Rehabilitation in Idaho Falls - Rehabilitation Practitioner

Western Center For Rehabilitation - NPI 1225180110

Western Center For Rehabilitation is a Rehabilitation Practitioner in Idaho Falls, Idaho. Western Center For Rehabilitation practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Western Center For Rehabilitation is 1225180110. The last update date is 2007-11-15.

Western Center For Rehabilitation's current location address is 2860 Channing Way, Idaho Falls, Idaho. You can contact this provider via phone number 2085354343 and fax number 2085354344. The mailing address for Western Center For Rehabilitation is 2860 Channing Way, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Western Center For Rehabilitation
Address 2860 Channing Way, Idaho Falls, Idaho
Phone Number 2085354343
Fax Number 2085354344
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Mangrum Christian Shane
Credentials M.D.
Telephone Number 2085354343

NPI Number Detail

NPI Number 1225180110
Provider Enumeration Date 2007-01-18
Last Updated Date 2007-11-15

Provider Mailing Address Detail

Address 2860 Channing Way
City Idaho Falls
State Idaho (ID)
Post Code 834047531
Phone Number 2085354343
Fax Number 2085354344

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Licence No M9189
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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FAQs about Western Center For Rehabilitation

What is the unique 10-digit identifier code issued to Western Center For Rehabilitation by the Centers for Medicare & Medicaid Services?

The Western Center For Rehabilitation has been assigned the NPI (National Provider Identifier) 1225180110 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Western Center For Rehabilitation?

The Western Center For Rehabilitation is situated at 2860 Channing Way, in the city of Idaho Falls, state of ID, with the zip code 834047531.

What is Western Center For Rehabilitation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Western Center For Rehabilitation is Rehabilitation Practitioner, and the taxonomy code that classifies this field of practice is 225400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1225180110 to Western Center For Rehabilitation?

The Centers for Medicare & Medicaid Services assigned the 1225180110 to Western Center For Rehabilitation on 2007-01-18.

When was the information related to Western Center For Rehabilitation most recently updated or refreshed?

The details pertaining to the Western Center For Rehabilitation, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-15.

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