Centerpointe, Inc. | |
915 Parkcentre Way Ste 7 Nampa ID 83651-1748 | |
(208) 442-7791 | |
(208) 442-7792 |
Full Name | Centerpointe, Inc. |
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Speciality | Community/Behavioral Health |
Location | 915 Parkcentre Way Ste 7, Nampa, Idaho |
Authorized Official Name and Position | Christine Rene Kildow (PSYCHOLOGIST, CLINIC DIRECTOR) |
Authorized Official Contact | 2084427791 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centerpointe, Inc. 915 Parkcentre Way Ste 7 Nampa ID 83651-1748 Ph: (208) 442-7791 | Centerpointe, Inc. 915 Parkcentre Way Ste 7 Nampa ID 83651-1748 Ph: (208) 442-7791 |
NPI Number | 1477685550 |
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Provider Enumeration Date | 03/12/2007 |
Last Update Date | 01/31/2020 |
Certification Date | 01/31/2020 |
Medicare PECOS PAC ID | 4587833215 |
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Medicare Enrollment ID | O20110812000619 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477685550 | NPI | - | NPPES |
806529400 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Karen L Schumacher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295735801 PECOS PAC ID: 0749361533 Enrollment ID: I20080117000766 |
Provider Name | Janette M Hiebert |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346429826 PECOS PAC ID: 8527241637 Enrollment ID: I20110328000664 |
Provider Name | Jamie L Williams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932532967 PECOS PAC ID: 9638469539 Enrollment ID: I20160606001505 |
Provider Name | Todd D Rainsdon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376931543 PECOS PAC ID: 4183990161 Enrollment ID: I20171018001897 |
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