Alta Services

LBN: Alta Addictions And Mental Health Services
Alta Services is an health care organization with primary practice located at 5223 W Overland Rd , Boise ID 83705-2637. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Alta Addictions And Mental Health Services can be contacted via phone (208) 395-1713, or through Mcconnel, Lesa via phone (208) 395-1713.

Contact Information

Primary practice address
5223 W Overland Rd Boise ID 83705-2637
Phone: (208) 395-1713
Fax: (208) 395-1715
Website:
Map and Directions
Authorized official contact:
Name: Mcconnel, Lesa Licensed Clinical Social Worker (LCSW)
Phone: (208) 395-1713

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X LCSW 1100 Idaho

Profile Details

NPI number 1801000112
LBN Legal business name Alta Addictions And Mental Health Services
DBA Doing business as Alta Services
Authorized official Mcconnel, Lesa Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Jun 12th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801000112 NPPES
Idaho MEDICAID 8064161

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