Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry in Bonners Ferry - Mental Health (including Community Mental Health Center)
Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry - NPI 1376670091
Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry is a Mental Health (including Community Mental Health Center) in Bonners Ferry, Idaho. Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry is 1376670091. The last update date is 2020-08-22.
Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry's current location address is Rt 4 6522 Tamarack Ln, Bonners Ferry, Idaho. You can contact this provider via phone number 2082673187 and fax number 2082673251. The mailing address for Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry is Rt 4 6522 Tamarack Ln, Bonners Ferry, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry |
|---|---|
| Address | Rt 4 6522 Tamarack Ln, Bonners Ferry, Idaho |
| Phone Number | 2082673187 |
| Fax Number | 2082673251 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM MA |
|---|---|
| Authorized Official Name | Gussenhoven Cora Jo |
| Telephone Number | 2087691406 |
NPI Number Detail
| NPI Number | 1376670091 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Rt 4 6522 Tamarack Ln |
|---|---|
| City | Bonners Ferry |
| State | Idaho (ID) |
| Post Code | 838059805 |
| Phone Number | 2082673187 |
| Fax Number | 2082673251 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8073521 | ID | -- | |
| 10018348 | BLUE SHIELD | ||
| HW256 | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry by the Centers for Medicare & Medicaid Services?
The Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry has been assigned the NPI (National Provider Identifier) 1376670091 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry is located?
The Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry is situated at the following address: Rt 4 6522 Tamarack Ln, Bonners Ferry, ID, 838059805.
What is Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry's area of expertise and its corresponding taxonomy classification?
The Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry's field of specialization is Mental Health (including Community Mental Health Center), and it falls under the taxonomy code 261Qm0801X, which categorizes healthcare providers based on their areas of practice.
When was the Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry's 1376670091 issued?
The Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry's 1376670091 was issued on 2007-02-28.
When was the information pertaining to Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry most recently updated or revised?
The details related to Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1912900226
Address: 2151 S. Highway Alt. A1a, Suite 1500, Jupiter, FL