Idaho Dept Of Health & Welfare Reg. Ii Amh Orofino

NPI 1235267055 - Clinic/Center - 261QM0801X

NPI Details
NPI 1235267055
Enumeration Date 03/01/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VICKI R. VICKI
Position PROGRAM MANAGER
Phone (208) 476-7703
Fax (208) 476-3636
Practice Location
416 JOHNSON AVE
OROFINO ID, 83544-9516, US
Phone (208) 476-7703
Fax (208) 476-3636
Business Location
PO BOX 712
OROFINO ID, 83544-0712, US
Phone (208) 476-7703
Fax (208) 476-3636
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
Remove 1235267055 NPI Number
 

According to our database, Idaho Dept Of Health & Welfare Reg. Ii Amh Orofino NPI is 1235267055, taxonomy code is 261QM0801X Idaho Dept Of Health & Welfare Reg. Ii Amh Orofino physically located at 416 Johnson Ave, Orofino ID, 83544-9516. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1235267055 NPI number is provided on an as is basis without warranty of any kind. 1235267055 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Dept Of Health & Welfare Reg. Ii Amh Orofino are for informational purposes only.