State Of Idaho Department Of Health And Welfare in Blackfoot - Psychiatric Hospital

State Of Idaho Department Of Health And Welfare - NPI 1992789101

State Of Idaho Department Of Health And Welfare is a Psychiatric Hospital in Blackfoot, Idaho. State Of Idaho Department Of Health And Welfare practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for State Of Idaho Department Of Health And Welfare is 1992789101. The last update date is 2013-05-08.

State Of Idaho Department Of Health And Welfare's current location address is 700 E Alice St, Blackfoot, Idaho. You can contact this provider via phone number 2087851200 and fax number 2087858518. The mailing address for State Of Idaho Department Of Health And Welfare is 700 E Alice St, Blackfoot, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Idaho Department Of Health And Welfare
Address 700 E Alice St, Blackfoot, Idaho
Phone Number 2087851200
Fax Number 2087858518
Sole Proprietor --
Credentials --

Authorized Official

Title or Position HOSPITAL A
Authorized Official Name Sessions G. Tracey
Telephone Number 2087858402

NPI Number Detail

NPI Number 1992789101
Provider Enumeration Date 2005-12-01
Last Updated Date 2013-05-08

Provider Mailing Address Detail

Address 700 E Alice St
City Blackfoot
State Idaho (ID)
Post Code 832214925
Phone Number 2087851200
Fax Number 2087858518

Provider's Primary Taxonomy Detail

Speciality Psychiatric Hospital
Taxonomy 283Q00000X
Licence No #17
Definition:
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
844 ID BLUE CROSS OF IDAHO
2821500 ID --
20315 ID REGENCE BLUE SHIELD OF ID

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FAQs about State Of Idaho Department Of Health And Welfare

What is the unique identifier code issued to State Of Idaho Department Of Health And Welfare by the Centers for Medicare & Medicaid Services?

The State Of Idaho Department Of Health And Welfare has been assigned the NPI (National Provider Identifier) 1992789101. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the State Of Idaho Department Of Health And Welfare's physical address?

The State Of Idaho Department Of Health And Welfare is physically located at 700 E Alice St, in the city of Blackfoot, ID, with the postal code 832214925.

What is State Of Idaho Department Of Health And Welfare's specialized field of practice, and what is the corresponding taxonomy classification code?

The State Of Idaho Department Of Health And Welfare's area of specialization is Psychiatric Hospital, and the corresponding taxonomy code that categorizes this field of practice is 283Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1992789101 to State Of Idaho Department Of Health And Welfare?

The State Of Idaho Department Of Health And Welfare received its 1992789101 assignment from the Centers for Medicare & Medicaid Services on 2005-12-01.

As of what date was the information pertaining to State Of Idaho Department Of Health And Welfare, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to State Of Idaho Department Of Health And Welfare, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-05-08.

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