Idahodhwbh3 Payette Cmh Psr in Payette - Rehabilitation
Idahodhwbh3 Payette Cmh Psr - NPI 1154459444
Idahodhwbh3 Payette Cmh Psr is a Rehabilitation in Payette, Idaho. Idahodhwbh3 Payette Cmh Psr practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Idahodhwbh3 Payette Cmh Psr is 1154459444. The last update date is 2020-08-22.
Idahodhwbh3 Payette Cmh Psr's current location address is 515 16th Ave N, Payette, Idaho. You can contact this provider via phone number 2086426416 and fax number 2086422829. The mailing address for Idahodhwbh3 Payette Cmh Psr is 515 16th Ave N, Payette, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Idahodhwbh3 Payette Cmh Psr |
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Address | 515 16th Ave N, Payette, Idaho |
Phone Number | 2086426416 |
Fax Number | 2086422829 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | FIELD OPER |
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Authorized Official Name | Hurt L Todd |
Credentials | M.S. |
Telephone Number | 2084557057 |
NPI Number Detail
NPI Number | 1154459444 |
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Provider Enumeration Date | 2007-03-01 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 515 16th Ave N |
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City | Payette |
State | Idaho (ID) |
Post Code | 836612047 |
Phone Number | 2086426416 |
Fax Number | 2086422829 |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation |
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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 |
---|---|---|---|
8073442 | ID | -- | |
HW348 | BLUE CROSS OF IDAHO | ||
10018824 | BLUESHIELD |
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What is the unique identifier code issued to Idahodhwbh3 Payette Cmh Psr by the Centers for Medicare & Medicaid Services (CMS)?
The Idahodhwbh3 Payette Cmh Psr has been assigned the NPI (National Provider Identifier) 1154459444. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Idahodhwbh3 Payette Cmh Psr?
The Idahodhwbh3 Payette Cmh Psr is physically situated at 515 16Th Ave N, in the city of Payette, state of ID, with the postal code 836612047.
What is Idahodhwbh3 Payette Cmh Psr's area of expertise and its corresponding taxonomy classification?
The Idahodhwbh3 Payette Cmh Psr's field of specialization is Rehabilitation, and it falls under the taxonomy code 261Qr0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Idahodhwbh3 Payette Cmh Psr receive its 1154459444 assignment from the Centers for Medicare & Medicaid Services?
The Idahodhwbh3 Payette Cmh Psr was assigned its 1154459444 by the Centers for Medicare & Medicaid Services on 2007-03-01.
As of what date were the details related to Idahodhwbh3 Payette Cmh Psr most recently updated or revised?
The information pertaining to Idahodhwbh3 Payette Cmh Psr, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.