| Grand Peaks Behavioral Health | |
|
335 E Main St Ste 3 Saint Anthony ID 83445-1546 | |
| (208) 356-4900 | |
| (208) 624-4030 |
| Full Name | Grand Peaks Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 335 E Main St Ste 3, Saint Anthony, Idaho |
| Authorized Official Name and Position | Lori K Sessions (CEO) |
| Authorized Official Contact | 2083564900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 335 E Main St Ste 3 Saint Anthony ID 83445-1546 Ph: (208) 356-4900 |
| NPI Number | 1396507190 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Medicare PECOS PAC ID | 4385725282 |
|---|---|
| Medicare Enrollment ID | O20180517002625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396507190 | NPI | - | NPPES |
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