| Rurban Pllc | |
|
605 S Olive Ave Sandpoint ID 83864-1154 | |
| (208) 899-9312 | |
| Not Available |
| Full Name | Rurban Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 605 S Olive Ave, Sandpoint, Idaho |
| Authorized Official Name and Position | Rio Petersono Peterson (FOUNDER/ CEO) |
| Authorized Official Contact | 2086868060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rurban Pllc 605 S Olive Ave Sandpoint ID 83864-1154 Ph: (208) 899-9312 | Rurban Pllc 605 S Olive Ave Sandpoint ID 83864-1154 Ph: (208) 899-9312 |
| NPI Number | 1205556859 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 12/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205556859 | NPI | - | NPPES |
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