State Hospital North in Orofino - Psychiatric Hospital

State Hospital North - NPI 1598831653

State Hospital North is a Psychiatric Hospital in Orofino, Idaho. State Hospital North practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for State Hospital North is 1598831653. The last update date is 2020-08-22.

State Hospital North's current location address is 300 Hospital Dr, Orofino, Idaho. You can contact this provider via phone number 2084764511 and fax number 2084767898. The mailing address for State Hospital North is 300 Hospital Dr, Orofino, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Hospital North
Address 300 Hospital Dr, Orofino, Idaho
Phone Number 2084764511
Fax Number 2084767898
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Bourassa Robert
Telephone Number 2084764511

NPI Number Detail

NPI Number 1598831653
Provider Enumeration Date 2006-11-28
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 300 Hospital Dr
City Orofino
State Idaho (ID)
Post Code 835449034
Phone Number 2084764511
Fax Number 2084767898

Provider's Primary Taxonomy Detail

Speciality Psychiatric Hospital
Taxonomy 283Q00000X
Licence No 24
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
1400501 ID CLIA
919 ID BLUE CROSS OF IDAHO

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FAQs about State Hospital North

What is the unique identifier code issued to State Hospital North by the Centers for Medicare & Medicaid Services?

The State Hospital North has been assigned the NPI (National Provider Identifier) 1598831653. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where State Hospital North is geographically located?

The State Hospital North is physically situated at the following location: 300 Hospital Dr, Orofino, ID, 835449034.

What is State Hospital North's area of expertise and its corresponding taxonomy classification?

The State Hospital North's field of specialization is Psychiatric Hospital, and it falls under the taxonomy code 283Q00000X, which categorizes healthcare providers based on their areas of practice.

When was the State Hospital North's 1598831653 issued?

The State Hospital North's 1598831653 was issued on 2006-11-28.

When was the State Hospital North's information last updated?

The State Hospital North's information was last updated on 2020-08-22.

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