State Of Idaho in Nampa - Intermediate Care Facility, Intellectual Disabilities
State Of Idaho - NPI 1316063787
State Of Idaho is a Intermediate Care Facility, Intellectual Disabilities in Nampa, Idaho. State Of Idaho practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for State Of Idaho is 1316063787. The last update date is 2020-08-22.
State Of Idaho's current location address is 1660 11th Ave N, Nampa, Idaho. You can contact this provider via phone number 2084422812 and fax number 2084675978. The mailing address for State Of Idaho is 1660 11th Ave N, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Idaho |
|---|---|
| Address | 1660 11th Ave N, Nampa, Idaho |
| Phone Number | 2084422812 |
| Fax Number | 2084675978 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Broetje Sue |
| Telephone Number | 2084422812 |
NPI Number Detail
| NPI Number | 1316063787 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1660 11th Ave N |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836875000 |
| Phone Number | 2084422812 |
| Fax Number | 2084675978 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 1 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique 10-digit identification code assigned to State Of Idaho by the Centers for Medicare & Medicaid Services?
The State Of Idaho has been issued the NPI (National Provider Identifier) 1316063787, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where State Of Idaho is geographically located?
The State Of Idaho is physically situated at the following location: 1660 11Th Ave N, Nampa, ID, 836875000.
What is State Of Idaho's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for State Of Idaho is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
When was the State Of Idaho's 1316063787 issued?
The State Of Idaho's 1316063787 was issued on 2007-03-21.
When was the State Of Idaho's information last updated?
The State Of Idaho's information was last updated on 2020-08-22.
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