Childrens Supportive Services Incorporated | |
625 W Pacific St Suite 2 Blackfoot ID 83221-2034 | |
(208) 524-8996 | |
(208) 524-1205 |
Full Name | Childrens Supportive Services Incorporated |
---|---|
Speciality | Community/behavioral Health |
Location | 625 W Pacific St, Blackfoot, Idaho |
Authorized Official Name and Position | Cathie Crane (SECRETARY-TREASURER) |
Authorized Official Contact | 2085248996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Childrens Supportive Services Incorporated 1565 E Lincoln Rd Idaho Falls ID 83401-2129 Ph: (208) 524-8996 | Childrens Supportive Services Incorporated 625 W Pacific St Suite 2 Blackfoot ID 83221-2034 Ph: (208) 524-8996 |
NPI Number | 1467679035 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 12/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467679035 | NPI | - | NPPES |
807373200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
United Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 W Bridge St, Blackfoot, ID 83221 Phone: 208-200-9515 | |
State Hospital South Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 E Alice St, Blackfoot, ID 83221 Phone: 208-785-8506 Fax: 208-785-8518 | |
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Idaho Dept Of Health & Welfare Reg 7 Amh Bf Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 E Alice, Blackfoot, ID 83221 Phone: 208-785-5871 Fax: 208-785-5877 | |
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