Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc in Pocatello - Mental Health (including Community Mental Health Center)
Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc - NPI 1225169139
Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc is a Mental Health (including Community Mental Health Center) in Pocatello, Idaho. Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc 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 6 Amh Psr Poc is 1225169139. The last update date is 2020-08-22.
Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc's current location address is 421 Memorial Dr, Pocatello, Idaho. You can contact this provider via phone number 2082347900 and fax number 2082366328. The mailing address for Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc is 421 Memorial Dr, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc |
|---|---|
| Address | 421 Memorial Dr, Pocatello, Idaho |
| Phone Number | 2082347900 |
| Fax Number | 2082366328 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM MA |
|---|---|
| Authorized Official Name | Axford Ed |
| Telephone Number | 2082347900 |
NPI Number Detail
| NPI Number | 1225169139 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 421 Memorial Dr |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832014008 |
| Phone Number | 2082347900 |
| Fax Number | 2082366328 |
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 |
|---|---|---|---|
| HW108 | ID | BLUE CROSS OF IDAHO | |
| 10019235 | ID | BLUE SHIELD | |
| 28411 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc by the Centers for Medicare & Medicaid Services?
The Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc has been assigned the NPI (National Provider Identifier) 1225169139 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc located?
The Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc is located at 421 Memorial Dr, Pocatello, ID 832014008.
What is Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc's specialized field of practice is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0801X.
When did Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc receive its 1225169139 assignment?
The Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc was assigned its 1225169139 on 2007-03-09, which is the date when this unique identifier was issued to the organization.
When was the Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc's information last updated?
The Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc's information was last updated on 2020-08-22.