| Charlie Health | |
|
9460 W Fairview Ave Ste 130 Boise ID 83704-8176 | |
| (406) 219-7835 | |
| Not Available |
| Full Name | Charlie Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9460 W Fairview Ave Ste 130, Boise, Idaho |
| Authorized Official Name and Position | Carter Barnhart (CEO) |
| Authorized Official Contact | 4062197835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlie Health 233 E Main St Suite 401 Bozeman MT 59715 Ph: (406) 361-3001 | Charlie Health 9460 W Fairview Ave Ste 130 Boise ID 83704-8176 Ph: (406) 219-7835 |
| NPI Number | 1063016442 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063016442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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