Idaho Dept Of Health & Welfare R5 Amh Cl Rup

NPI 1225169915 - Clinic/Center - 261QM0850X

NPI Details
NPI 1225169915
Enumeration Date 03/07/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DUKE DUKE
Position FIELD SERVICES PROGRAM MANAGER
Phone (208) 436-9494
Fax
Practice Location
209 S 2ND ST
RUPERT ID, 83350-2104, US
Phone (208) 436-9494
Fax
Business Location
209 S 2ND ST
RUPERT ID, 83350-2104, US
Phone (208) 436-9494
Fax
Toxanomy
Taxonomy Code 261QM0850X
License State
License Number
Remove 1225169915 NPI Number
 

According to our database, Idaho Dept Of Health & Welfare R5 Amh Cl Rup NPI is 1225169915, taxonomy code is 261QM0850X Idaho Dept Of Health & Welfare R5 Amh Cl Rup physically located at 209 S 2nd St, Rupert ID, 83350-2104. NPI Number 1033115704 has the healthcare provider type.

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1225169915 NPI number is provided on an as is basis without warranty of any kind. 1225169915 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Dept Of Health & Welfare R5 Amh Cl Rup are for informational purposes only.