Idaho Dept Of Health & Welfare Reg 2 Amh

NPI 1174820401 - Clinic/Center - 261QM0850X

NPI Details
NPI 1174820401
Enumeration Date 02/23/2011
Last Updated 02/23/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name VICKI VICKI
Position PROGRAM MANAGER
Phone (208) 983-2300
Fax
Practice Location
216 S C ST
GRANGEVILLE ID, 83530-1342, US
Phone (208) 983-2300
Fax
Business Location
PO BOX 548
GRANGEVILLE ID, 83530-0548, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM0850X
License State
License Number
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According to our database, Idaho Dept Of Health & Welfare Reg 2 Amh NPI is 1174820401, taxonomy code is 261QM0850X Idaho Dept Of Health & Welfare Reg 2 Amh physically located at 216 S C St, Grangeville ID, 83530-1342. NPI Number 1033115704 has the healthcare provider type.

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1174820401 NPI number is provided on an as is basis without warranty of any kind. 1174820401 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Dept Of Health & Welfare Reg 2 Amh are for informational purposes only.