Idaho Dept Of Health & Welfare Region 7 Amh Psr If

NPI 1275669152 - Clinic/Center - 261QM0801X

NPI Details
NPI 1275669152
Enumeration Date 02/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MELISSA M MELISSA
Position PROGRAM MANAGER
Phone (208) 528-5700
Fax (208) 528-5747
Practice Location
150 SHOUP AVE
SUITE 17
IDAHO FALLS ID, 83402-3657, US
Phone (208) 528-5700
Fax (208) 528-5747
Business Location
150 SHOUP AVE
SUITE 17
IDAHO FALLS ID, 83402-3657, US
Phone (208) 528-5700
Fax (208) 528-5747
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
Remove 1275669152 NPI Number
 

According to our database, Idaho Dept Of Health & Welfare Region 7 Amh Psr If NPI is 1275669152, taxonomy code is 261QM0801X Idaho Dept Of Health & Welfare Region 7 Amh Psr If physically located at 150 Shoup Ave, Idaho Falls ID, 83402-3657. NPI Number 1033115704 has the healthcare provider type.

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1275669152 NPI number is provided on an as is basis without warranty of any kind. 1275669152 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Dept Of Health & Welfare Region 7 Amh Psr If are for informational purposes only.