| Idaho Dept Of Health & Welfare Reg 2 Amh | |
|
216 S C St Grangeville ID 83530-1342 | |
| (208) 983-2300 | |
| Not Available |
| Full Name | Idaho Dept Of Health & Welfare Reg 2 Amh |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 216 S C St, Grangeville, Idaho |
| Authorized Official Name and Position | Vicki Malone (PROGRAM MANAGER) |
| Authorized Official Contact | 2087994440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Dept Of Health & Welfare Reg 2 Amh Po Box 548 Grangeville ID 83530-0548 Ph: () - | Idaho Dept Of Health & Welfare Reg 2 Amh 216 S C St Grangeville ID 83530-1342 Ph: (208) 983-2300 |
| NPI Number | 1174820401 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 02/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174820401 | NPI | - | NPPES |
| HW264 | Other | ID | BLUE CROSS |
| 000010018440 | Other | ID | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Camas Professional Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 304 N State St, Grangeville, ID 83530 Phone: 208-983-0235 Fax: 208-983-0245 | |
Clearwater Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 1/2 E Main St, Grangeville, ID 83530 Phone: 208-983-7717 Fax: 208-983-7787 | |
Bentley Counseling And Consulting,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Center Rd., Grangeville, ID 83530 Phone: 208-983-5535 | |
Clearwater Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 E Main St, Grangeville, ID 83530 Phone: 208-983-7717 Fax: 208-983-7787 | |
Idaho Dept Of Health & Welfare Reg 2 Cmh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 S C St, Grangeville, ID 83530 Phone: 208-983-2300 | |
Idaho Dept Of Health & Welfare Reg Ii Amh Grangeville Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 S C St, Grangeville, ID 83530 Phone: 208-983-2300 Fax: 208-983-2440 |