Idaho Dept Of Health & Welfare Reg 6 Cmh Bf C

LBN: Idaho Dept Of Health & Welfare Reg 6 Cmh Bf C
Idaho Dept Of Health & Welfare Reg 6 Cmh Bf C is an health care organization with primary practice located at 701 E Alice , Blackfoot ID 83221-0129. 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 6 Cmh Bf C can be contacted via phone (208) 785-5826, or through Axford, Ed via phone (208) 234-7900.

Contact Information

Primary practice address
701 E Alice Blackfoot ID 83221-0129
Fax: (208) 785-1003
Website:
Authorized official contact:
Name: Axford, Ed

Health care specialties

Profile Details

NPI number 1710019476
LBN Legal business name Idaho Dept Of Health & Welfare Reg 6 Cmh Bf C
DBA Doing business as
Authorized official Axford, Ed
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1710019476 NPPES
Idaho Other 000010019402 BLUE SHIELD
Idaho Other HW157 BLUE SHIELD
Idaho MEDICAID 8073650 BLUE SHIELD

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