| Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Salmon | |
|
1301 Main St Salmon ID 83467-4451 | |
| (208) 756-3336 | |
| (208) 756-3805 |
| Full Name | Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Salmon |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1301 Main St, Salmon, Idaho |
| Authorized Official Name and Position | Melissa M Bean (PROGRAM MANAGER) |
| Authorized Official Contact | 2085285706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Salmon Po Box 610 Salmon ID 83467-0610 Ph: (208) 756-3336 | Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Salmon 1301 Main St Salmon ID 83467-4451 Ph: (208) 756-3336 |
| NPI Number | 1801922612 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801922612 | NPI | - | NPPES |
| 8074373 | Medicaid | ID | |
| HW157 | Other | BLUE CROSS OF IDAHO | |
| 000010019677 | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Lemhi Valley Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Main St, Suite 2, Salmon, ID 83467 Phone: 208-756-2927 Fax: 208-756-1518 | |
Human Dynamics And Diagnostics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 Monroe St Ste 2, Salmon, ID 83467 Phone: 208-524-4953 Fax: 208-524-7335 | |
Lemhi Valley Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Main St, Suite 2, Salmon, ID 83467 Phone: 208-756-2927 Fax: 208-756-1518 | |
Lemhi Valley Social Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1211 Main St, Suite 2, Salmon, ID 83467 Phone: 208-756-2927 Fax: 208-756-1518 | |
Salmon Mental Health Clinic Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Lillian St, Suite 101, Salmon, ID 83467 Phone: 208-756-1573 Fax: 208-756-1579 | |
Lemhi Valley Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Main St, Suite 2, Salmon, ID 83467 Phone: 208-756-2927 Fax: 208-756-1518 |