State Hospital North in Orofino - Psychiatric Hospital
State Hospital North - NPI 1598831653
State Hospital North is a Psychiatric Hospital in Orofino, Idaho. State Hospital North practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for State Hospital North is 1598831653. The last update date is 2020-08-22.
State Hospital North's current location address is 300 Hospital Dr, Orofino, Idaho. You can contact this provider via phone number 2084764511 and fax number 2084767898. The mailing address for State Hospital North is 300 Hospital Dr, Orofino, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Hospital North |
|---|---|
| Address | 300 Hospital Dr, Orofino, Idaho |
| Phone Number | 2084764511 |
| Fax Number | 2084767898 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Bourassa Robert |
| Telephone Number | 2084764511 |
NPI Number Detail
| NPI Number | 1598831653 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 300 Hospital Dr |
|---|---|
| City | Orofino |
| State | Idaho (ID) |
| Post Code | 835449034 |
| Phone Number | 2084764511 |
| Fax Number | 2084767898 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
| Licence No | 24 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1400501 | ID | CLIA | |
| 919 | ID | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique identifier code issued to State Hospital North by the Centers for Medicare & Medicaid Services?
The State Hospital North has been assigned the NPI (National Provider Identifier) 1598831653. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where State Hospital North is geographically located?
The State Hospital North is physically situated at the following location: 300 Hospital Dr, Orofino, ID, 835449034.
What is State Hospital North's area of expertise and its corresponding taxonomy classification?
The State Hospital North's field of specialization is Psychiatric Hospital, and it falls under the taxonomy code 283Q00000X, which categorizes healthcare providers based on their areas of practice.
When was the State Hospital North's 1598831653 issued?
The State Hospital North's 1598831653 was issued on 2006-11-28.
When was the State Hospital North's information last updated?
The State Hospital North's information was last updated on 2020-08-22.
NPI Number: 1063415297
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