| A New Hope Recovery Inc | |
|
5092 Thurston St Chubbuck ID 83202-2116 | |
| (208) 339-4728 | |
| Not Available |
| Full Name | A New Hope Recovery Inc |
|---|---|
| Speciality | Social Worker |
| Location | 5092 Thurston St, Chubbuck, Idaho |
| Authorized Official Name and Position | Dustin Scott Price (CEO) |
| Authorized Official Contact | 2083394728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Hope Recovery Inc 5092 Thurston St Chubbuck ID 83202-2116 Ph: (208) 339-4728 | A New Hope Recovery Inc 5092 Thurston St Chubbuck ID 83202-2116 Ph: (208) 339-4728 |
| NPI Number | 1699523415 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Medicare PECOS PAC ID | 0941749360 |
|---|---|
| Medicare Enrollment ID | O20240829002698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699523415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dustin S Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093024622 PECOS PAC ID: 7618300773 Enrollment ID: I20240829002925 |
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