| Community Mental Health Services | |
|
720 E Lander St Pocatello ID 83201-6228 | |
| (208) 478-2172 | |
| (208) 478-2174 |
| Full Name | Community Mental Health Services |
|---|---|
| Speciality | Community Health Worker |
| Location | 720 E Lander St, Pocatello, Idaho |
| Authorized Official Name and Position | Steed Martin (OWNER/DIRECTOR) |
| Authorized Official Contact | 2084782172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Mental Health Services 720 E Lander St Pocatello ID 83201-6228 Ph: (208) 478-2172 | Community Mental Health Services 720 E Lander St Pocatello ID 83201-6228 Ph: (208) 478-2172 |
| NPI Number | 1417216961 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 11/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417216961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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