Mr Hal J Jardine, MS is a
Counselor - Mental Health based in Arco, Idaho. Mr Hal J Jardine is licensed to practice in * (Not Available) (license number ) and his current practice location is
630 N Front St, Arco, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 527-8933.
NPI number for Mr Hal J Jardine is 1760696447 and his current mailing address is 630 N Front St, Arco, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760696447.
Healthcare Provider's Profile
| Full Name | Mr Hal J Jardine |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 630 N Front St, Arco, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1760696447
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Hal J Jardine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760696447 | NPI | - | NPPES |
| 8063309 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Hal J Jardine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Hal J Jardine, MS
630 N Front St,
Arco, ID 83213-8756
Ph: (208) 527-8933 | Mr Hal J Jardine, MS
630 N Front St,
Arco, ID 83213-8756
Ph: (208) 527-8933 |
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