| Evergreen Wellness, Llc | |
|
123 Mckinley Ave Kellogg ID 83837-2501 | |
| (208) 512-2522 | |
| Not Available |
| Full Name | Evergreen Wellness, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 123 Mckinley Ave, Kellogg, Idaho |
| Authorized Official Name and Position | Meghann Johnson (CEO) |
| Authorized Official Contact | 2085122522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Wellness, Llc 123 Mckinley Ave Kellogg ID 83837-2501 Ph: (208) 512-2522 | Evergreen Wellness, Llc 123 Mckinley Ave Kellogg ID 83837-2501 Ph: (208) 512-2522 |
| NPI Number | 1669283545 |
|---|---|
| Provider Enumeration Date | 01/18/2025 |
| Last Update Date | 03/23/2026 |
| Certification Date | 03/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669283545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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