| Aces Commuinty Services, Inc | |
|
622 W College Ave Ste 2 St Maries ID 83861-1822 | |
| (208) 245-4363 | |
| (208) 245-4349 |
| Full Name | Aces Commuinty Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 622 W College Ave Ste 2, St Maries, Idaho |
| Authorized Official Name and Position | Michelle Wood (OPERATIONS MANAGER) |
| Authorized Official Contact | 2082922188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aces Commuinty Services, Inc 1417 N 4th St Coeur D Alene ID 83814-3310 Ph: (208) 292-2188 | Aces Commuinty Services, Inc 622 W College Ave Ste 2 St Maries ID 83861-1822 Ph: (208) 245-4363 |
| NPI Number | 1609167279 |
|---|---|
| Provider Enumeration Date | 04/29/2011 |
| Last Update Date | 04/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609167279 | NPI | - | NPPES |
| 808328200 | Medicaid | ID | |
| 806388100 | Medicaid | ID | |
| 808367901 | Medicaid | ID | |
| 808280600 | Medicaid | ID | |
| 808328100 | Medicaid | ID | |
| 808367900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Idaho) | Primary |
Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S 7th St, St Maries, ID 83861 Phone: 208-245-2541 Fax: 208-245-7131 | |
Vista Outreach - Psr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 S 7th St, St Maries, ID 83861 Phone: 208-245-1920 Fax: 208-245-9206 | |
Sequel Alliance Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Homer Dr, St Maries, ID 83861 Phone: 208-245-5427 Fax: 208-245-5427 | |
Vista Outreach - Mental Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 S 7th St, St Maries, ID 83861 Phone: 208-245-1920 Fax: 208-245-9206 | |
Lone Pine Behavioral Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1030 S 3rd St, St Maries, ID 83861 Phone: 208-274-3430 | |
Alliance Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Homer Dr, St Maries, ID 83861 Phone: 208-245-5427 | |
Heritage Health Restored Paths Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 120 S 13th St, St Maries, ID 83861 Phone: 208-245-4363 Fax: 208-245-4349 |