1154459444 IDAHODHWBH3 PAYETTE CMH PSR

Rehabilitation Clinic/Center

Active

Basic Information

Organization Name
IDAHODHWBH3 PAYETTE CMH PSR
Enumeration Date
March 1, 2007
Last Update
August 22, 2020
Authorized Official
MR. TODD L HURT M.S.
FIELD OPERATIONS MANAGER
Phone: (208) 455-7057

Practice Location

Address
515 16TH AVE N
PAYETTE, ID 836612047
Phone
(208) 642-6416
Fax
(208) 642-2829

Mailing Address

Address
515 16TH AVE N
PAYETTE, ID 836612047
Phone
(208) 642-6416
Fax
(208) 642-2829

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
8073442 05 ID N/A
HW348 01 N/A BLUE CROSS OF IDAHO
000010018824 01 N/A BLUESHIELD

Frequently Asked Questions

What is IDAHODHWBH3 PAYETTE CMH PSR's NPI number?
IDAHODHWBH3 PAYETTE CMH PSR's NPI number is 1154459444.
Which doctor has NPI number 1154459444?
The doctor with NPI number 1154459444 is IDAHODHWBH3 PAYETTE CMH PSR.
What is IDAHODHWBH3 PAYETTE CMH PSR's practice address?
IDAHODHWBH3 PAYETTE CMH PSR's practice address is 515 16TH AVE N, PAYETTE, ID, 836612047.
Which doctor practices at 515 16TH AVE N, PAYETTE, ID, 836612047?
IDAHODHWBH3 PAYETTE CMH PSR practices at 515 16TH AVE N, PAYETTE, ID, 836612047.
What is IDAHODHWBH3 PAYETTE CMH PSR's phone number?
IDAHODHWBH3 PAYETTE CMH PSR's phone number is (208) 642-6416.
Who is (208) 642-6416?
(208) 642-6416 is the phone number for IDAHODHWBH3 PAYETTE CMH PSR.
What is IDAHODHWBH3 PAYETTE CMH PSR's specialty?
IDAHODHWBH3 PAYETTE CMH PSR's specialty is Rehabilitation Clinic/Center.
What type of doctor is IDAHODHWBH3 PAYETTE CMH PSR?
IDAHODHWBH3 PAYETTE CMH PSR is a Rehabilitation Clinic/Center.
Is IDAHODHWBH3 PAYETTE CMH PSR a Rehabilitation?
Yes, IDAHODHWBH3 PAYETTE CMH PSR is a Rehabilitation.
Is IDAHODHWBH3 PAYETTE CMH PSR still practicing?
Yes, IDAHODHWBH3 PAYETTE CMH PSR is currently practicing.
Is IDAHODHWBH3 PAYETTE CMH PSR accepting new patients?
IDAHODHWBH3 PAYETTE CMH PSR may be accepting new patients. Please call their office at (208) 642-6416 to inquire about availability.
Is NPI 1154459444 still active?
Yes, NPI 1154459444 is currently active.
Where does IDAHODHWBH3 PAYETTE CMH PSR practice?
IDAHODHWBH3 PAYETTE CMH PSR practices in PAYETTE, ID.