| Heartcore Solutions Llc | |
|
4467 S Chinook Ave Boise ID 83709-5572 | |
| (208) 809-1888 | |
| (208) 563-2600 |
| Full Name | Heartcore Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4467 S Chinook Ave, Boise, Idaho |
| Authorized Official Name and Position | Tami L Bishop (OWNER) |
| Authorized Official Contact | 2088091888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartcore Solutions Llc 4467 S Chinook Ave Boise ID 83709-5572 Ph: (208) 809-1888 | Heartcore Solutions Llc 4467 S Chinook Ave Boise ID 83709-5572 Ph: (208) 809-1888 |
| NPI Number | 1467126094 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 08/06/2021 |
| Certification Date | 08/06/2021 |
| Medicare PECOS PAC ID | 1355748930 |
|---|---|
| Medicare Enrollment ID | O20210923003439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467126094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tami L Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255836748 PECOS PAC ID: 8729342100 Enrollment ID: I20180511000509 |
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