| Peregrine Corp, Pc | |
|
37 Highway 57 Priest River ID 83856-6559 | |
| (208) 448-4855 | |
| (208) 448-2467 |
| Full Name | Peregrine Corp, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 37 Highway 57, Priest River, Idaho |
| Authorized Official Name and Position | Dorlea Ann Knizley (BOARD PRESIDENT) |
| Authorized Official Contact | 2084484855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peregrine Corp, Pc Po Box 205 Priest River ID 83856-0205 Ph: (208) 448-4855 | Peregrine Corp, Pc 37 Highway 57 Priest River ID 83856-6559 Ph: (208) 448-4855 |
| NPI Number | 1093040917 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093040917 | NPI | - | NPPES |
| 807375500 | Medicaid | ID | |
| Q2776 | Other | BLUE CROSS OF IDAHO | |
| 000010016976 | Other | REGENCE BLUESHIELD | |
| 807348800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC - 139 (Idaho) | Primary |
Focused Behavior Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Juneberry Ln, Priest River, ID 83856 Phone: 208-217-5529 | |
Healing Partners Equestrian Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1605 Hoodoo Mt. Road, Priest River, ID 83856 Phone: 208-263-9076 | |
Sequel Alliance Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5486 Highway 2 Ste102, Priest River, ID 83856 Phone: 208-448-1216 | |
Albeni-selkirk Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Albeni Rd., Ste. B, Priest River, ID 83856 Phone: 208-290-2771 | |
Alliance Family Services North, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5486 Highway 2, Ste. 102, Priest River, ID 83856 Phone: 208-265-5049 |