| Human Supports Of Idaho | |
|
206 E Elm St Caldwell ID 83605-4815 | |
| (208) 454-8389 | |
| (208) 454-8404 |
| Full Name | Human Supports Of Idaho |
|---|---|
| Speciality | General Practice |
| Location | 206 E Elm St, Caldwell, Idaho |
| Authorized Official Name and Position | Alita Ruby (ADMINISTRATIVE SERVICE MANAGER) |
| Authorized Official Contact | 2084548389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Supports Of Idaho 4477 W Emerald St Ste C100 Boise ID 83706-2058 Ph: (208) 321-0160 | Human Supports Of Idaho 206 E Elm St Caldwell ID 83605-4815 Ph: (208) 454-8389 |
| NPI Number | 1700129491 |
|---|---|
| Provider Enumeration Date | 04/01/2013 |
| Last Update Date | 12/23/2025 |
| Certification Date | 12/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700129491 | NPI | - | NPPES |
| 20002419 | Other | ID | MEDICARE PTAN |
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