1831226547 IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA

Adult Mental Health Clinic/Center

Active

Basic Information

Organization Name
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA
Enumeration Date
February 28, 2007
Last Update
August 22, 2020
Authorized Official
CORA JO GUSSENHOVEN
PROGRAM MANAGER
Phone: (208) 769-1406

Practice Location

Address
2195 IRONWOOD CT
COEUR D ALENE, ID 838142628
Phone
(208) 769-1406
Fax
(208) 769-1430

Mailing Address

Address
2195 IRONWOOD CT
COEUR D ALENE, ID 838142628
Phone
(208) 769-1406
Fax
(208) 769-1430

Specialties & Taxonomies

Specialty Code Classification License State Primary
Adult Mental Health Clinic/Center
Adult Mental Health
261QM0850X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
000010018348 01 N/A BLUE SHIELD
8073574 05 ID N/A
HW256 01 N/A BLUE CROSS OF IDAHO

Frequently Asked Questions

What is IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA's NPI number?
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA's NPI number is 1831226547.
Which doctor has NPI number 1831226547?
The doctor with NPI number 1831226547 is IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA.
What is IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA's practice address?
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA's practice address is 2195 IRONWOOD CT, COEUR D ALENE, ID, 838142628.
Which doctor practices at 2195 IRONWOOD CT, COEUR D ALENE, ID, 838142628?
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA practices at 2195 IRONWOOD CT, COEUR D ALENE, ID, 838142628.
What is IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA's phone number?
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA's phone number is (208) 769-1406.
Who is (208) 769-1406?
(208) 769-1406 is the phone number for IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA.
What is IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA's specialty?
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA's specialty is Adult Mental Health Clinic/Center.
What type of doctor is IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA?
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA is a Adult Mental Health Clinic/Center.
Is IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA a Adult Mental Health?
Yes, IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA is a Adult Mental Health.
Is IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA still practicing?
Yes, IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA is currently practicing.
Is IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA accepting new patients?
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA may be accepting new patients. Please call their office at (208) 769-1406 to inquire about availability.
Is NPI 1831226547 still active?
Yes, NPI 1831226547 is currently active.
Where does IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA practice?
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA practices in COEUR D ALENE, ID.