Center For Excellence, P.c. | |
10713 N Strahorn Rd Hayden ID 83835-9824 | |
(208) 661-8743 | |
Not Available |
Full Name | Center For Excellence, P.c. |
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Speciality | Community/behavioral Health |
Location | 10713 N Strahorn Rd, Hayden, Idaho |
Authorized Official Name and Position | Douglas L. Ratelle (PRESIDENT) |
Authorized Official Contact | 2086618743 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Center For Excellence, P.c. 10713 N Strahorn Rd Hayden ID 83835-9824 Ph: () - | Center For Excellence, P.c. 10713 N Strahorn Rd Hayden ID 83835-9824 Ph: (208) 661-8743 |
NPI Number | 1942517388 |
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Provider Enumeration Date | 09/07/2010 |
Last Update Date | 03/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942517388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | PSY-328 (Idaho) | Primary |
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