| Idaho Dept Of Health & Welfare Amh Clinic Boise | |
|
1720 Westgate Dr Suite B-1 Boise ID 83704-7164 | |
| (208) 334-0894 | |
| (208) 334-0804 |
| Full Name | Idaho Dept Of Health & Welfare Amh Clinic Boise |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1720 Westgate Dr, Boise, Idaho |
| Authorized Official Name and Position | Gina Westcott (PROGRAM MANAGER) |
| Authorized Official Contact | 2083340969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Dept Of Health & Welfare Amh Clinic Boise 1720 Westgate Dr Suite B-1 Boise ID 83704-7164 Ph: (208) 334-0894 | Idaho Dept Of Health & Welfare Amh Clinic Boise 1720 Westgate Dr Suite B-1 Boise ID 83704-7164 Ph: (208) 334-0894 |
| NPI Number | 1487784435 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487784435 | NPI | - | NPPES |
| 0028320 | Medicaid | ID | |
| HW280 | Other | BLUE CROSS OF IDAHO | |
| 000010018973 | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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Cda Solution Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10080 W Smoke Ranch Dr, Boise, ID 83709 Phone: 208-703-6004 | |
Commonplace Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 500 W Bannock St, Boise, ID 83702 Phone: 208-906-5878 | |
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