Icare Center For Change

LBN: Icare Center For Change
Icare Center For Change is an health care organization with primary practice located at 1689 E 4000 N , Buhl ID 83316-5647. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Icare Center For Change can be contacted via phone (208) 918-2473, or through Graff, Kelly via phone (208) 918-2473.

Contact Information

Primary practice address
1689 E 4000 N Buhl ID 83316-5647
Phone: (208) 918-2473
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graff, Kelly APRN-CNS
Phone: (208) 918-2473

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X

Profile Details

NPI number 1508554940
LBN Legal business name Icare Center For Change
DBA Doing business as
Authorized official Graff, Kelly APRN-CNS
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 25th, 2023
Last updated Apr 25th, 2023 - about 2 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 1508554940 NPPES
Idaho MEDICAID 1558567107

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