Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg in Rexburg - Adolescent And Children Mental Health
Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg - NPI 1447386867
Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg is a Adolescent And Children Mental Health in Rexburg, Idaho. Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg is 1447386867. The last update date is 2020-08-22.
Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg's current location address is 333 Walker Dr, Rexburg, Idaho. You can contact this provider via phone number 2083594751 and fax number 2083565461. The mailing address for Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg is 333 Walker Dr, Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg |
|---|---|
| Address | 333 Walker Dr, Rexburg, Idaho |
| Phone Number | 2083594751 |
| Fax Number | 2083565461 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM MA |
|---|---|
| Authorized Official Name | Bean M Melissa |
| Credentials | MA |
| Telephone Number | 2085285706 |
NPI Number Detail
| NPI Number | 1447386867 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 333 Walker Dr |
|---|---|
| City | Rexburg |
| State | Idaho (ID) |
| Post Code | 834401657 |
| Phone Number | 2083594751 |
| Fax Number | 2083565461 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10019677 | BLUE SHIELD | ||
| 8074323 | ID | -- | |
| HW157 | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique identifier code issued to Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg by the Centers for Medicare & Medicaid Services?
The Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg has been assigned the NPI (National Provider Identifier) 1447386867. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg is physically located?
The Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg is physically situated at the following address: 333 Walker Dr, Rexburg, ID, 834401657.
What is Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg's specialized field of practice is Adolescent And Children Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0855X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1447386867 to Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg?
The Centers for Medicare & Medicaid Services originally issued the 1447386867 to Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg on 2007-02-27.
As of what date were the details related to Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg most recently updated or revised?
The information pertaining to Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.