Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda in Coeur D Alene - Rehabilitation
Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda - NPI 1164550455
Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda is a Rehabilitation in Coeur D Alene, Idaho. Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda is 1164550455. The last update date is 2020-08-22.
Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda's current location address is 1250 Ironwood Dr Ste 100, Coeur D Alene, Idaho. You can contact this provider via phone number 2087691515 and fax number 2086666744. The mailing address for Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda is 1250 Ironwood Dr Ste 100, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda |
|---|---|
| Address | 1250 Ironwood Dr Ste 100, Coeur D Alene, Idaho |
| Phone Number | 2087691515 |
| Fax Number | 2086666744 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM MA |
|---|---|
| Authorized Official Name | Gussenhoven Cora Jo |
| Telephone Number | 2087691406 |
NPI Number Detail
| NPI Number | 1164550455 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1250 Ironwood Dr Ste 100 |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838142628 |
| Phone Number | 2087691515 |
| Fax Number | 2086666744 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 261Qr0400X |
|
Definition: Helps patients regain function after illness, injury or surgery through therapeutic interventions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HW199 | BLUE CROSS OF IDAHO | ||
| 10018348 | BLUE SHIELD | ||
| 28408 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda?
The Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda has been issued the NPI (National Provider Identifier) 1164550455 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda located?
The Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda is located at 1250 Ironwood Dr Ste 100, Coeur D Alene, ID 838142628.
What is Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda is Rehabilitation, and the taxonomy classification code that categorizes this area of expertise is 261Qr0400X.
When was the Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda's 1164550455 issued?
The Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda's 1164550455 was issued on 2007-03-01.
When was the information regarding Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda most recently updated?
The details pertaining to the Idaho Dept Of Health & Welfare Reg 1 Cmh Psr Cda, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1427051903
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