Idaho Dept Of Health & Welfare Amh Psr Mt Home in Mountain Home - Mental Health (including Community Mental Health Center)
Idaho Dept Of Health & Welfare Amh Psr Mt Home - NPI 1720118904
Idaho Dept Of Health & Welfare Amh Psr Mt Home is a Mental Health (including Community Mental Health Center) in Mountain Home, Idaho. Idaho Dept Of Health & Welfare Amh Psr Mt Home practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Idaho Dept Of Health & Welfare Amh Psr Mt Home is 1720118904. The last update date is 2020-08-22.
Idaho Dept Of Health & Welfare Amh Psr Mt Home's current location address is 2420 American Legion Blvd, Mountain Home, Idaho. You can contact this provider via phone number 2085879061 and fax number 2085875024. The mailing address for Idaho Dept Of Health & Welfare Amh Psr Mt Home is 2420 American Legion Blvd, Mountain Home, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Dept Of Health & Welfare Amh Psr Mt Home |
|---|---|
| Address | 2420 American Legion Blvd, Mountain Home, Idaho |
| Phone Number | 2085879061 |
| Fax Number | 2085875024 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM MA |
|---|---|
| Authorized Official Name | Westcott Gina |
| Credentials | M.A. |
| Telephone Number | 2083340969 |
NPI Number Detail
| NPI Number | 1720118904 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2420 American Legion Blvd |
|---|---|
| City | Mountain Home |
| State | Idaho (ID) |
| Post Code | 836473146 |
| Phone Number | 2085879061 |
| Fax Number | 2085875024 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8073418 | ID | -- | |
| 10018973 | BLUE SHIELD | ||
| HW280 | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Idaho Dept Of Health & Welfare Amh Psr Mt Home by the Centers for Medicare & Medicaid Services?
The Idaho Dept Of Health & Welfare Amh Psr Mt Home has been assigned the NPI (National Provider Identifier) 1720118904 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Idaho Dept Of Health & Welfare Amh Psr Mt Home is physically located?
The Idaho Dept Of Health & Welfare Amh Psr Mt Home is situated at the following address: 2420 American Legion Blvd, Mountain Home, ID 836473146.
What is Idaho Dept Of Health & Welfare Amh Psr Mt Home's specialized field of practice, and what is the corresponding taxonomy classification code?
The Idaho Dept Of Health & Welfare Amh Psr Mt Home's area of specialization is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this field of practice is 261Qm0801X.
On what date was the 1720118904 assigned to Idaho Dept Of Health & Welfare Amh Psr Mt Home?
The Idaho Dept Of Health & Welfare Amh Psr Mt Home was issued its 1720118904 on 2007-03-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Idaho Dept Of Health & Welfare Amh Psr Mt Home's information last updated?
The Idaho Dept Of Health & Welfare Amh Psr Mt Home's information was last updated on 2020-08-22.