| South East Idaho Behavioral Crisis Center | |
|
1001 N 7th Ave Pocatello ID 83201-5761 | |
| (208) 909-5177 | |
| Not Available |
| Full Name | South East Idaho Behavioral Crisis Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1001 N 7th Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Demi Echi-aboli (BILLING DEPARTMENT DIRECTOR) |
| Authorized Official Contact | 2083601038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South East Idaho Behavioral Crisis Center Po Box 2106 Idaho Falls ID 83403-2106 Ph: () - | South East Idaho Behavioral Crisis Center 1001 N 7th Ave Pocatello ID 83201-5761 Ph: (208) 909-5177 |
| NPI Number | 1194365254 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194365254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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