| Idaho Behavioral Health, Inc. | |
|
524 S 9th Ave #101 Caldwell ID 83605-5075 | |
| (208) 454-2144 | |
| (208) 454-2149 |
| Full Name | Idaho Behavioral Health, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 524 S 9th Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Tami Jones (PRESIDENT AND CEO) |
| Authorized Official Contact | 2083432737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Behavioral Health, Inc. 2273 S Vista Ave #190 Boise ID 83705-7341 Ph: (208) 343-2737 | Idaho Behavioral Health, Inc. 524 S 9th Ave #101 Caldwell ID 83605-5075 Ph: (208) 454-2144 |
| NPI Number | 1902143126 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 01/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902143126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-4112 (Idaho) | Primary |
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