| Eastern Idaho Community Action Partnership | |
|
935 E Lincoln Rd Idaho Falls ID 83401-2119 | |
| (208) 522-5391 | |
| (208) 522-5453 |
| Full Name | Eastern Idaho Community Action Partnership |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 935 E Lincoln Rd, Idaho Falls, Idaho |
| Authorized Official Name and Position | Russell Spain (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2085225391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Idaho Community Action Partnership Po Box 51098 Idaho Falls ID 83405-1098 Ph: () - | Eastern Idaho Community Action Partnership 935 E Lincoln Rd Idaho Falls ID 83401-2119 Ph: (208) 522-5391 |
| NPI Number | 1134556970 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134556970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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