Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic in Pocatello - Adolescent And Children Mental Health
Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic - NPI 1780715045
Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic is a Adolescent And Children Mental Health in Pocatello, Idaho. Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic is 1780715045. The last update date is 2010-10-22.
Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic's current location address is 421 Memorial Dr, Pocatello, Idaho. You can contact this provider via phone number 2082347900 and fax number 2082366328. The mailing address for Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic is 421 Memorial Dr, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic |
|---|---|
| Address | 421 Memorial Dr, Pocatello, Idaho |
| Phone Number | 2082347900 |
| Fax Number | 2082366328 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL S |
|---|---|
| Authorized Official Name | Weers Ritchie |
| Telephone Number | 2082347900 |
NPI Number Detail
| NPI Number | 1780715045 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2010-10-22 |
Provider Mailing Address Detail
| Address | 421 Memorial Dr |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832014008 |
| Phone Number | 2082347900 |
| Fax Number | 2082366328 |
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 |
|---|---|---|---|
| HW157 | ID | BLUE CROSS OF IDAHO | |
| 8073651 | ID | -- | |
| 10019402 | ID | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic by the Centers for Medicare & Medicaid Services?
The Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic has been issued the NPI (National Provider Identifier) 1780715045 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic is physically located?
The Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic is situated at the following address: 421 Memorial Dr, Pocatello, ID 832014008.
What is the Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic's area of specialization and corresponding taxonomy classification?
The Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic's specialty field is Adolescent And Children Mental Health, and it falls under the taxonomy code 261Qm0855X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780715045 to Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1780715045 to Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic on 2007-03-08.
As of what date was the information regarding Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Idaho Dept Of Health & Welfare Reg 6 Cmh Poc Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-10-22.