Eastport Psr, L.L.P. in Bonners Ferry - Community/behavioral Health

Eastport Psr, L.L.P. - NPI 1083831556

Eastport Psr, L.L.P. is a Community/behavioral Health in Bonners Ferry, Idaho. Eastport Psr, L.L.P. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Eastport Psr, L.L.P. is 1083831556. The last update date is 2020-08-22.

Eastport Psr, L.L.P.'s current location address is Po Box 1093, Bonners Ferry, Idaho. You can contact this provider via phone number 2089463604 and fax number 2082671681. The mailing address for Eastport Psr, L.L.P. is Po Box 1093, Bonners Ferry, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eastport Psr, L.L.P.
Address Po Box 1093, Bonners Ferry, Idaho
Phone Number 2089463604
Fax Number 2082671681
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHOSOCI
Authorized Official Name Harris Lee Anna
Credentials BA
Telephone Number 1208267729

NPI Number Detail

NPI Number 1083831556
Provider Enumeration Date 2007-04-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 1093
City Bonners Ferry
State Idaho (ID)
Post Code 838051093
Phone Number 2089463604
Fax Number 2082671681

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

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FAQs about Eastport Psr, L.L.P.

What is the unique 10-digit identification code issued to Eastport Psr, L.L.P. by the Centers for Medicare & Medicaid Services?

The Eastport Psr, L.L.P. has been assigned the NPI (National Provider Identifier) 1083831556 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Eastport Psr, L.L.P.?

The Eastport Psr, L.L.P. is physically situated at Po Box 1093, in the city of Bonners Ferry, state of ID, with the postal code 838051093.

What is Eastport Psr, L.L.P.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Eastport Psr, L.L.P. is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.

On what date did the Eastport Psr, L.L.P. receive the assignment of its 1083831556 from the Centers for Medicare & Medicaid Services?

The Eastport Psr, L.L.P. was issued its 1083831556 by the Centers for Medicare & Medicaid Services on 2007-04-19.

When was the information pertaining to Eastport Psr, L.L.P. most recently updated or revised?

The details related to Eastport Psr, L.L.P., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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