Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda in Coeur D Alene - Adult Mental Health
Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda - NPI 1831226547
Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda is a Adult Mental Health in Coeur D Alene, Idaho. Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda is 1831226547. The last update date is 2020-08-22.
Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda's current location address is 2195 Ironwood Ct, Coeur D Alene, Idaho. You can contact this provider via phone number 2087691406 and fax number 2087691430. The mailing address for Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda is 2195 Ironwood Ct, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda |
|---|---|
| Address | 2195 Ironwood Ct, Coeur D Alene, Idaho |
| Phone Number | 2087691406 |
| Fax Number | 2087691430 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM MA |
|---|---|
| Authorized Official Name | Gussenhoven Cora Jo |
| Telephone Number | 2087691406 |
NPI Number Detail
| NPI Number | 1831226547 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2195 Ironwood Ct |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838142628 |
| Phone Number | 2087691406 |
| Fax Number | 2087691430 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10018348 | BLUE SHIELD | ||
| 8073574 | ID | -- | |
| HW256 | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique identification code assigned to Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda by the Centers for Medicare & Medicaid Services?
The Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda has been issued the NPI (National Provider Identifier) 1831226547. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda's physical address?
The Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda is physically located at 2195 Ironwood Ct, in the city of Coeur D Alene, ID, with the postal code 838142628.
What is Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda is Adult Mental Health, and the taxonomy code that classifies this field of practice is 261Qm0850X.
On what date was the 1831226547 assigned to Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda?
The Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda was issued its 1831226547 on 2007-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.