Atropos Mental Health Llc | |
611 Wilson Ave Ste 5 Pocatello ID 83201-5046 | |
(208) 915-8448 | |
Not Available |
Full Name | Atropos Mental Health Llc |
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Speciality | Community/Behavioral Health |
Location | 611 Wilson Ave Ste 5, Pocatello, Idaho |
Authorized Official Name and Position | Tracie Lyn Hansen (OWNER) |
Authorized Official Contact | 2089158448 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atropos Mental Health Llc 611 Wilson Ave Ste 5 Pocatello ID 83201-5046 Ph: (208) 915-8448 | Atropos Mental Health Llc 611 Wilson Ave Ste 5 Pocatello ID 83201-5046 Ph: (208) 915-8448 |
NPI Number | 1316551187 |
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Provider Enumeration Date | 08/31/2020 |
Last Update Date | 04/29/2024 |
Certification Date | 04/29/2024 |
Medicare PECOS PAC ID | 2163841016 |
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Medicare Enrollment ID | O20201119002944 |
Identifier | Type | State | Issuer |
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1316551187 | NPI | - | NPPES |
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