| Kimberly Hinrichs Pllc | |
|
204 S Cole Rd Boise ID 83709-0934 | |
| (208) 724-8581 | |
| (208) 813-6179 |
| Full Name | Kimberly Hinrichs Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 204 S Cole Rd, Boise, Idaho |
| Authorized Official Name and Position | Kimberly Hinrichs (OWNER) |
| Authorized Official Contact | 2087248581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Hinrichs Pllc 204 S Cole Rd Boise ID 83709-0934 Ph: (208) 724-8581 | Kimberly Hinrichs Pllc 204 S Cole Rd Boise ID 83709-0934 Ph: (208) 724-8581 |
| NPI Number | 1730742016 |
|---|---|
| Provider Enumeration Date | 04/22/2019 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 5395078612 |
|---|---|
| Medicare Enrollment ID | O20190531000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730742016 | NPI | - | NPPES |
| 1205287471 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly Hinrichs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205287471 PECOS PAC ID: 6204169535 Enrollment ID: I20190531000914 |
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