| Joseph Leon Martindale | |
|
4460 Central Way Ste 3 Chubbuck ID 83202-5095 | |
| (208) 237-3612 | |
| (208) 237-5192 |
| Full Name | Joseph Leon Martindale |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4460 Central Way, Chubbuck, Idaho |
| Authorized Official Name and Position | Joseph Leon Martindale (OWNER) |
| Authorized Official Contact | 2082373612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Leon Martindale 4460 Central Way Ste 3 Chubbuck ID 83202-5095 Ph: (208) 237-3612 | Joseph Leon Martindale 4460 Central Way Ste 3 Chubbuck ID 83202-5095 Ph: (208) 237-3612 |
| NPI Number | 1689850877 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689850877 | NPI | - | NPPES |
| 1538262589 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | O-0391 (Idaho) | Primary |
Joseph Martindale, Do,pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4460 Central Way, Suite 3, Chubbuck, ID 83202 Phone: 208-237-3612 | |
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Seasons Of Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd, Chubbuck, ID 83202 Phone: 208-237-9833 Fax: 208-237-1800 | |
Childrens Supportive Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 Evans Ln, Chubbuck, ID 83202 Phone: 208-524-8996 Fax: 208-524-1205 | |
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