Idaho Dept Of Health & Welfare Reg 2 Cmh

LBN: Idaho Dept Of Health & Welfare Reg 2 Cmh
Idaho Dept Of Health & Welfare Reg 2 Cmh is an health care organization with primary practice located at 1350 Troy Highway , Moscow ID 83843-3995. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Idaho Dept Of Health & Welfare Reg 2 Cmh can be contacted via phone (208) 882-0562, or through Malone, Vicki via phone (208) 799-4440.

Contact Information

Primary practice address
1350 Troy Highway Moscow ID 83843-3995
Phone: (208) 882-0562
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Malone, Vicki
Phone: (208) 799-4440

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1639476294
LBN Legal business name Idaho Dept Of Health & Welfare Reg 2 Cmh
DBA Doing business as
Authorized official Malone, Vicki
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2011
Last updated Feb 17th, 2011 - about 14 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 1639476294 NPPES
Idaho Other 000010018450 BLUE SHIELD
Idaho Other HW140 BLUE SHIELD

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