Idahodhwbh3 Cald Amh Psr in Caldwell - Mental Health (including Community Mental Health Center)
Idahodhwbh3 Cald Amh Psr - NPI 1023146529
Idahodhwbh3 Cald Amh Psr is a Mental Health (including Community Mental Health Center) in Caldwell, Idaho. Idahodhwbh3 Cald Amh Psr practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Idahodhwbh3 Cald Amh Psr is 1023146529. The last update date is 2020-08-22.
Idahodhwbh3 Cald Amh Psr'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 Idahodhwbh3 Cald Amh Psr is 3402 Franklin Rd, Caldwell, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idahodhwbh3 Cald Amh Psr |
|---|---|
| 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 | M.S. |
| Telephone Number | 2084557057 |
NPI Number Detail
| NPI Number | 1023146529 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
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 | 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 |
|---|---|---|---|
| 10027633 | ID | BLUESHIELD | |
| 28417 | ID | -- | |
| HW298 | ID | BLUE CROSS OF IDAHO |
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What is the Idahodhwbh3 Cald Amh Psr's 1023146529?
The Idahodhwbh3 Cald Amh Psr's NPI (National Provider Identifier) Number is 1023146529. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Idahodhwbh3 Cald Amh Psr located?
The Idahodhwbh3 Cald Amh Psr is located at 3402 Franklin Rd, Caldwell, ID 836056932.
What is the Idahodhwbh3 Cald Amh Psr's area of specialization and corresponding taxonomy classification?
The Idahodhwbh3 Cald Amh Psr's specialty field is Mental Health (including Community Mental Health Center), and it falls under the taxonomy code 261Qm0801X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1023146529 to Idahodhwbh3 Cald Amh Psr?
The Idahodhwbh3 Cald Amh Psr received its 1023146529 assignment from the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the information pertaining to Idahodhwbh3 Cald Amh Psr most recently updated or revised?
The details related to Idahodhwbh3 Cald Amh Psr, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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