1164550455 IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA
Rehabilitation Clinic/Center
Active
Basic Information
- Organization Name
- IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA
- Enumeration Date
- March 1, 2007
- Last Update
- August 22, 2020
- Authorized Official
- CORA JO GUSSENHOVEN
PROGRAM MANAGER
Phone: (208) 769-1406
Practice Location
- Address
- 1250 IRONWOOD DR STE 100
COEUR D ALENE, ID 838142628 - Phone
- (208) 769-1515
- Fax
- (208) 666-6744
Mailing Address
- Address
- 1250 IRONWOOD DR STE 100
COEUR D ALENE, ID 838142628 - Phone
- (208) 769-1515
- Fax
- (208) 666-6744
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Rehabilitation Clinic/Center Rehabilitation | 261QR0400X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HW199 | 01 | N/A | BLUE CROSS OF IDAHO |
| 000010018348 | 01 | N/A | BLUE SHIELD |
| 0028408 | 05 | ID | N/A |
Frequently Asked Questions
What is IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA's NPI number?
IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA's NPI number is 1164550455.
Which doctor has NPI number 1164550455?
The doctor with NPI number 1164550455 is IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA.
What is IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA's practice address?
IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA's practice address is 1250 IRONWOOD DR STE 100, COEUR D ALENE, ID, 838142628.
Which doctor practices at 1250 IRONWOOD DR STE 100, COEUR D ALENE, ID, 838142628?
IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA practices at 1250 IRONWOOD DR STE 100, COEUR D ALENE, ID, 838142628.
What is IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA's phone number?
IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA's phone number is (208) 769-1515.
Who is (208) 769-1515?
(208) 769-1515 is the phone number for IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA.
What is IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA's specialty?
IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA's specialty is Rehabilitation Clinic/Center.
What type of doctor is IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA?
IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA is a Rehabilitation Clinic/Center.
Is IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA a Rehabilitation?
Yes, IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA is a Rehabilitation.
Is IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA still practicing?
Yes, IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA is currently practicing.
Is IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA accepting new patients?
IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA may be accepting new patients. Please call their office at (208) 769-1515 to inquire about availability.
Is NPI 1164550455 still active?
Yes, NPI 1164550455 is currently active.
Where does IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA practice?
IDAHO DEPT OF HEALTH & WELFARE REG 1 CMH PSR CDA practices in COEUR D ALENE, ID.