Portneuf River Center in Pocatello - Psychiatric/mental Health, Child & Adolescent
Portneuf River Center - NPI 1518006113
Portneuf River Center is a Psychiatric/mental Health, Child & Adolescent in Pocatello, Idaho. Portneuf River Center practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for Portneuf River Center is 1518006113. The last update date is 2008-07-18.
Portneuf River Center's current location address is 427 N Arthur Ave Ste B, Pocatello, Idaho. You can contact this provider via phone number 2082332998 and fax number 2082320881. The mailing address for Portneuf River Center is 427 N Arthur Ave Ste B, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Portneuf River Center |
|---|---|
| Address | 427 N Arthur Ave Ste B, Pocatello, Idaho |
| Phone Number | 2082332998 |
| Fax Number | 2082320881 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Werner-Leap Kathleen |
| Credentials | CNS, NPP |
| Telephone Number | 2082332998 |
NPI Number Detail
| NPI Number | 1518006113 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2008-07-18 |
Provider Mailing Address Detail
| Address | 427 N Arthur Ave Ste B |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832043006 |
| Phone Number | 2082332998 |
| Fax Number | 2082320881 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Child & Adolescent |
|---|---|
| Taxonomy | 364Sp0807X |
|
Definition: A psychiatric clinical nurse specialist expert in caring for infants, children and adolescents. |
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What is the unique 10-digit identifier code issued to Portneuf River Center by the Centers for Medicare & Medicaid Services?
The Portneuf River Center has been assigned the NPI (National Provider Identifier) 1518006113 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Portneuf River Center?
The Portneuf River Center is situated at 427 N Arthur Ave Ste B, in the city of Pocatello, state of ID, with the zip code 832043006.
What is the Portneuf River Center's area of specialization and corresponding taxonomy classification?
The Portneuf River Center's specialty field is Psychiatric/mental Health, Child & Adolescent, and it falls under the taxonomy code 364Sp0807X, which categorizes healthcare providers based on their specialties.
When did the Portneuf River Center receive its 1518006113?
The Portneuf River Center was issued its 1518006113 on 2007-02-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Portneuf River Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Portneuf River Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-18.
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