Idaho Department Of Health & Welfare

NPI 1144530718 - Clinic/Center - 261QM0855X

NPI Details
NPI 1144530718
Enumeration Date 10/18/2010
Last Updated 10/18/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TODD TODD
Position PROGRAM MANAGER
Phone (208) 459-0092
Fax (208) 454-7714
Practice Location
3402 FRANKLIN RD
CALDWELL ID, 83605-6932, US
Phone (208) 459-0092
Fax (208) 454-7714
Business Location
3402 FRANKLIN RD
CALDWELL ID, 83605-6932, US
Phone (208) 459-0092
Fax (208) 454-7714
Toxanomy
Taxonomy Code 261QM0855X
License State
License Number
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According to our database, Idaho Department Of Health & Welfare NPI is 1144530718, taxonomy code is 261QM0855X Idaho Department Of Health & Welfare physically located at 3402 Franklin Rd, Caldwell ID, 83605-6932. NPI Number 1033115704 has the healthcare provider type.

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1144530718 NPI number is provided on an as is basis without warranty of any kind. 1144530718 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Department Of Health & Welfare are for informational purposes only.