Interactive Service Connection in Idaho Falls - Mental Health (including Community Mental Health Center)
Interactive Service Connection - NPI 1346454683
Interactive Service Connection is a Mental Health (including Community Mental Health Center) in Idaho Falls, Idaho. Interactive Service Connection practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Interactive Service Connection is 1346454683. The last update date is 2020-08-22.
Interactive Service Connection's current location address is 2680 Channing Way, Idaho Falls, Idaho. You can contact this provider via phone number 2085224026 and fax number 2085224138. The mailing address for Interactive Service Connection is 2680 Channing Way, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Interactive Service Connection |
|---|---|
| Address | 2680 Channing Way, Idaho Falls, Idaho |
| Phone Number | 2085224026 |
| Fax Number | 2085224138 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Molino Pete |
| Credentials | MED, LSW |
| Telephone Number | 2085224026 |
NPI Number Detail
| NPI Number | 1346454683 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2680 Channing Way |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834047517 |
| Phone Number | 2085224026 |
| Fax Number | 2085224138 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
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Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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What is the unique 10-digit identification code issued to Interactive Service Connection by the Centers for Medicare & Medicaid Services?
The Interactive Service Connection has been assigned the NPI (National Provider Identifier) 1346454683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Interactive Service Connection located?
The Interactive Service Connection is located at 2680 Channing Way, Idaho Falls, ID 834047517.
What is Interactive Service Connection's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Interactive Service Connection is Mental Health (including Community Mental Health Center), and the corresponding taxonomy classification code for this specialized field is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services issue the 1346454683 to Interactive Service Connection?
The Interactive Service Connection received its 1346454683 assignment from the Centers for Medicare & Medicaid Services on 2007-05-09.
As of what date were the Interactive Service Connection's details last updated?
The information pertaining to the Interactive Service Connection, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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