| Idaho Children's Center | |
|
1675 Curlew Dr Ammon ID 83406-4718 | |
| (208) 529-4300 | |
| (208) 529-1627 |
| Full Name | Idaho Children's Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1675 Curlew Dr, Ammon, Idaho |
| Authorized Official Name and Position | Matt F Smith (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2085294300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Children's Center 1675 Curlew Dr Ammon ID 83406-4718 Ph: (208) 529-4300 | Idaho Children's Center 1675 Curlew Dr Ammon ID 83406-4718 Ph: (208) 529-4300 |
| NPI Number | 1346433232 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 08/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346433232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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