Cpf Idaho Behavioral Health, Llc | |
1811 E. Karcher Road Nampa ID 83687 | |
(208) 505-4419 | |
(208) 505-8505 |
Full Name | Cpf Idaho Behavioral Health, Llc |
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Speciality | Family Medicine |
Location | 1811 E. Karcher Road, Nampa, Idaho |
Authorized Official Name and Position | Amanda Gotts (BILLING SUPERVISOR) |
Authorized Official Contact | 2085054419 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cpf Idaho Behavioral Health, Llc 1811 E. Karcher Road Nampa ID 83687 Ph: (208) 505-4419 | Cpf Idaho Behavioral Health, Llc 1811 E. Karcher Road Nampa ID 83687 Ph: (208) 505-4419 |
NPI Number | 1871259770 |
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Provider Enumeration Date | 11/15/2021 |
Last Update Date | 04/14/2022 |
Certification Date | 04/14/2022 |
Medicare PECOS PAC ID | 8729472238 |
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Medicare Enrollment ID | O20220228000470 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871259770 | NPI | - | NPPES |
Provider Name | Aida Dizdar-barac |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952655490 PECOS PAC ID: 2365743325 Enrollment ID: I20151216000308 |
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