| Mhp Idaho LLC | |
|
1534 Idaho St Lewiston ID 83501-2573 | |
| (208) 305-6131 | |
| Not Available |
| Full Name | Mhp Idaho LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1534 Idaho St, Lewiston, Idaho |
| Authorized Official Name and Position | Megan L Walker (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 2083056131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhp Idaho LLC 1534 Idaho St Lewiston ID 83501-2573 Ph: (208) 305-6131 | Mhp Idaho LLC 1534 Idaho St Lewiston ID 83501-2573 Ph: (208) 305-6131 |
| NPI Number | 1902497795 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902497795 | NPI | - | NPPES |
| 1386698322 | Other | ID | NPI |
| 1861741159 | Other | ID | NPI |
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