Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic in Lewiston - Adult Mental Health
Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic - NPI 1811025406
Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic is a Adult Mental Health in Lewiston, Idaho. Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic is 1811025406. The last update date is 2020-08-22.
Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic's current location address is 1118 F St, Lewiston, Idaho. You can contact this provider via phone number 2087994440 and fax number 2087995171. The mailing address for Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic is 1118 F St, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic |
---|---|
Address | 1118 F St, Lewiston, Idaho |
Phone Number | 2087994440 |
Fax Number | 2087995171 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PROGRAM MA |
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Authorized Official Name | Malone R. Vicki |
Credentials | MSW |
Telephone Number | 2087994440 |
NPI Number Detail
NPI Number | 1811025406 |
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Provider Enumeration Date | 2007-03-02 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1118 F St |
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City | Lewiston |
State | Idaho (ID) |
Post Code | 835011930 |
Phone Number | 2087994440 |
Fax Number | 2087995171 |
Provider's Primary Taxonomy Detail
Speciality | Adult Mental Health |
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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 |
---|---|---|---|
28329 | ID | -- | |
10018440 | BLUE SHIELD | ||
HW264 | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique provider identifier assigned to Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic?
The Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic has been issued the NPI (National Provider Identifier) 1811025406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic's facilities are situated?
The facilities of Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic are physically located at the following address: 1118 F St, Lewiston, ID, 835011930.
What is Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic's area of specialization is Adult Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 261Qm0850X.
When did Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic receive its 1811025406 assignment?
The Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic was assigned its 1811025406 on 2007-03-02, which is the date when this unique identifier was issued to the organization.
When was the information regarding Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic, 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 Ii Amh Lew. Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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