State Of Idaho Department Of Health And Welfare in Blackfoot - Psychiatric Hospital
State Of Idaho Department Of Health And Welfare - NPI 1992789101
State Of Idaho Department Of Health And Welfare is a Psychiatric Hospital in Blackfoot, Idaho. State Of Idaho Department Of Health And Welfare practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for State Of Idaho Department Of Health And Welfare is 1992789101. The last update date is 2013-05-08.
State Of Idaho Department Of Health And Welfare's current location address is 700 E Alice St, Blackfoot, Idaho. You can contact this provider via phone number 2087851200 and fax number 2087858518. The mailing address for State Of Idaho Department Of Health And Welfare is 700 E Alice St, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | State Of Idaho Department Of Health And Welfare |
---|---|
Address | 700 E Alice St, Blackfoot, Idaho |
Phone Number | 2087851200 |
Fax Number | 2087858518 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | HOSPITAL A |
---|---|
Authorized Official Name | Sessions G. Tracey |
Telephone Number | 2087858402 |
NPI Number Detail
NPI Number | 1992789101 |
---|---|
Provider Enumeration Date | 2005-12-01 |
Last Updated Date | 2013-05-08 |
Provider Mailing Address Detail
Address | 700 E Alice St |
---|---|
City | Blackfoot |
State | Idaho (ID) |
Post Code | 832214925 |
Phone Number | 2087851200 |
Fax Number | 2087858518 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatric Hospital |
---|---|
Taxonomy | 283Q00000X |
Licence No | #17 |
Definition: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
844 | ID | BLUE CROSS OF IDAHO | |
2821500 | ID | -- | |
20315 | ID | REGENCE BLUE SHIELD OF ID |
Post Comment/ Review Below
What is the unique identifier code issued to State Of Idaho Department Of Health And Welfare by the Centers for Medicare & Medicaid Services?
The State Of Idaho Department Of Health And Welfare has been assigned the NPI (National Provider Identifier) 1992789101. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the State Of Idaho Department Of Health And Welfare's physical address?
The State Of Idaho Department Of Health And Welfare is physically located at 700 E Alice St, in the city of Blackfoot, ID, with the postal code 832214925.
What is State Of Idaho Department Of Health And Welfare's specialized field of practice, and what is the corresponding taxonomy classification code?
The State Of Idaho Department Of Health And Welfare's area of specialization is Psychiatric Hospital, and the corresponding taxonomy code that categorizes this field of practice is 283Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992789101 to State Of Idaho Department Of Health And Welfare?
The State Of Idaho Department Of Health And Welfare received its 1992789101 assignment from the Centers for Medicare & Medicaid Services on 2005-12-01.
As of what date was the information pertaining to State Of Idaho Department Of Health And Welfare, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to State Of Idaho Department Of Health And Welfare, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-05-08.
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