| Idaho Department Of Health & Welfare | |
|
1652 11th Ave N Nampa ID 83687-5000 | |
| (208) 606-7777 | |
| (208) 606-7800 |
| Full Name | Idaho Department Of Health & Welfare |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1652 11th Ave N, Nampa, Idaho |
| Authorized Official Name and Position | Christina Gallegos (ADMINISTRATIVE SUPPORT MANAGER) |
| Authorized Official Contact | 2086067777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Department Of Health & Welfare 1652 11th Ave N Nampa ID 83687-5000 Ph: (208) 606-7777 | Idaho Department Of Health & Welfare 1652 11th Ave N Nampa ID 83687-5000 Ph: (208) 606-7777 |
| NPI Number | 1174389829 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174389829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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