| Aces Community | |
|
609 Bank Street Wallace ID 83873 | |
| (208) 556-0960 | |
| (208) 752-1048 |
| Full Name | Aces Community |
|---|---|
| Speciality | Social Worker |
| Location | 609 Bank Street, Wallace, 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 1417 N 4th Street Ste. 100 Coeur D Alene ID 83814 Ph: (208) 292-2188 | Aces Community 609 Bank Street Wallace ID 83873 Ph: (208) 556-0960 |
| NPI Number | 1174767180 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 03/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174767180 | NPI | - | NPPES |
| 1669672689 | Medicaid | ID | |
| 1215055868 | Medicaid | ID | |
| 1912127648 | Medicaid | ID | |
| 1093935728 | Medicaid | ID | |
| 1477629996 | Medicaid | ID | |
| 1548414519 | Medicaid | ID | |
| 1295956266 | Medicaid | ID | |
| 1689689085 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (Idaho) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Aces Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 Bank Street, Wallace, ID 83873 Phone: 208-556-0960 Fax: 208-752-1048 | |
New Hope Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 Bank St, Suite 200, Wallace, ID 83873 Phone: 208-556-0960 Fax: 208-556-0970 | |
Aces Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 Bank Street, Wallace, ID 83873 Phone: 208-556-0960 Fax: 208-752-1048 |