| Grand Teton Child Neurology | |
|
2225 Teton Plz Ste B Idaho Falls ID 83404-6494 | |
| (208) 529-4300 | |
| (208) 529-1627 |
| Full Name | Grand Teton Child Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 2225 Teton Plz Ste B, Idaho Falls, Idaho |
| Authorized Official Name and Position | Peter W Castellanos (NEUROLOGIST) |
| Authorized Official Contact | 2085294300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Teton Child Neurology 2225 Teton Plz Ste B Idaho Falls ID 83404-6494 Ph: (208) 529-4300 | Grand Teton Child Neurology 2225 Teton Plz Ste B Idaho Falls ID 83404-6494 Ph: (208) 529-4300 |
| NPI Number | 1639322258 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639322258 | NPI | - | NPPES |
| 77234 | Other | ID | BLUE CROSS OF IDAHO |
| 807968700 | Medicaid | ID |
Sullivan Mental Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-523-1558 Fax: 208-529-4788 | |
Youth And Family Renewal Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2935 Rollandet St, Idaho Falls, ID 83402 Phone: 208-542-2905 Fax: 208-522-2427 | |
Independence, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 N Skyline Dr, Ste. A, Idaho Falls, ID 83402 Phone: 208-524-0881 Fax: 208-524-0886 | |
Life Quest Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 1st St, Idaho Falls, ID 83401 Phone: 208-529-2920 | |
Access Point Family Sevices Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 Channing Way, Idaho Falls, ID 83404 Phone: 208-522-4026 Fax: 208-522-4138 | |
Integrated Family & Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3355 S Holmes Ave, Idaho Falls, ID 83404 Phone: 208-523-2080 Fax: 208-523-2799 | |
Childrens Supportive Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1565 E Lincoln Rd, Idaho Falls, ID 83401 Phone: 208-524-8996 Fax: 208-524-1205 |