| Idaho Dept Of Health & Welfare Amh Psr Mccall | |
|
299 S 3rd St Mccall ID 83638-5020 | |
| (208) 643-2228 | |
| (208) 634-3510 |
| Full Name | Idaho Dept Of Health & Welfare Amh Psr Mccall |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 299 S 3rd St, Mccall, Idaho |
| Authorized Official Name and Position | Gina Westcott (PROGRAM MANAGER) |
| Authorized Official Contact | 2083340969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Dept Of Health & Welfare Amh Psr Mccall 1720 Westgate Dr Suite B-1 Boise ID 83704-7164 Ph: (208) 334-0894 | Idaho Dept Of Health & Welfare Amh Psr Mccall 299 S 3rd St Mccall ID 83638-5020 Ph: (208) 643-2228 |
| NPI Number | 1679603948 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679603948 | NPI | - | NPPES |
| HW280 | Other | BLUE CROSS OF IDAHO | |
| 8073419 | Medicaid | ID | |
| 000010018973 | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Central Idaho Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Commerce St., Suite B, Mccall, ID 83638 Phone: 208-634-2962 Fax: 208-634-5064 | |
Ignitie Idaho Family Resource Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 E Park St Ste 107, Mccall, ID 83638 Phone: 208-994-5537 | |
Shawn Briley Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 N 3rd St, Mccall, ID 83638 Phone: 208-634-2979 | |
Central Idaho Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Commerce St, B, Mccall, ID 83638 Phone: 208-634-7817 Fax: 208-634-5064 | |
Psychiatric Nurse Practitioner Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 State St, Mccall, ID 83638 Phone: 208-634-2221 Fax: 208-634-7112 | |
Jamieson Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 E Park St Ste 218, Mccall, ID 83638 Phone: 208-630-4200 |