| Grand Peaks Behavioral Health | |
|
72 S 1st E Ste 103 Rexburg ID 83440-1902 | |
| (208) 356-4900 | |
| (208) 372-0123 |
| Full Name | Grand Peaks Behavioral Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 72 S 1st E Ste 103, Rexburg, Idaho |
| Authorized Official Name and Position | Lori K Sessions (CEO) |
| Authorized Official Contact | 2083564900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Peaks Behavioral Health Po Box 18 Saint Anthony ID 83445-0018 Ph: (208) 356-4900 | Grand Peaks Behavioral Health 72 S 1st E Ste 103 Rexburg ID 83440-1902 Ph: (208) 356-4900 |
| NPI Number | 1457113250 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457113250 | NPI | - | NPPES |
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