| Ecls | |
|
212 S 11th St Ste. 3 Coeur D Alene ID 83814-4000 | |
| (208) 666-9162 | |
| (208) 769-9321 |
| Full Name | Ecls |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 212 S 11th St, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Robert Wheeler (PRESIDENT) |
| Authorized Official Contact | 2086669162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecls Po Box 3723 Coeur D Alene ID 83816-2529 Ph: (208) 666-9162 | Ecls 212 S 11th St Ste. 3 Coeur D Alene ID 83814-4000 Ph: (208) 666-9162 |
| NPI Number | 1659492429 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 03/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659492429 | NPI | - | NPPES |
| 807602900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 807602900 (Idaho) | Primary |
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