| Aces Community Services | |
|
1417 N 4th St Coeur D Alene ID 83814-3310 | |
| (208) 292-2188 | |
| (208) 292-2189 |
| Full Name | Aces Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1417 N 4th St, Coeur D Alene, 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 Community Services 1417 N 4th St Coeur D Alene ID 83814-3310 Ph: (208) 292-2188 | Aces Community Services 1417 N 4th St Coeur D Alene ID 83814-3310 Ph: (208) 292-2188 |
| NPI Number | 1972894533 |
|---|---|
| Provider Enumeration Date | 04/29/2011 |
| Last Update Date | 04/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972894533 | NPI | - | NPPES |
| 808367900 | Medicaid | ID | |
| 808328100 | Medicaid | ID | |
| 808367901 | Medicaid | ID | |
| 808280600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Idaho) | Primary |
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