Mr Mark A Hand, LCSW | |
304 N State St, Grangeville, ID 83530-1769 | |
(208) 983-0235 | |
(208) 983-0245 |
Full Name | Mr Mark A Hand |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 304 N State St, Grangeville, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144837295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LMSW39986 (Idaho) | Primary |
Entity Name | Clearwater Valley Hospital & Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264 |
Entity Name | St. Mary's Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20050316000814 |
Entity Name | Clearwater Valley Hospital & Clinics |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1255449013 PECOS PAC ID: 0547173346 Enrollment ID: O20061104000428 |
Entity Name | St. Mary's Hospital, Inc. |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20061104000429 |
Mailing Address | Practice Location Address |
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Mr Mark A Hand, LCSW 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 476-5777 | Mr Mark A Hand, LCSW 304 N State St, Grangeville, ID 83530-1769 Ph: (208) 983-0235 |
Nicolette Phillips, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 304 N State St, Grangeville, ID 83530 Phone: 208-983-0235 | |
Morris Michel Bentley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 365 Center Road, Grangeville, ID 83530 Phone: 208-983-5535 Fax: 208-983-5575 | |
Jessica Melvin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Ne 7th St, Grangeville, ID 83530 Phone: 253-709-3647 |