| Impact | |
|
152 E Main St Ste 106 Rigby ID 83442-5268 | |
| (208) 745-7831 | |
| (208) 745-0658 |
| Full Name | Impact |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 152 E Main St Ste 106, Rigby, Idaho |
| Authorized Official Name and Position | Bruce Hampton (OWNER/LSW) |
| Authorized Official Contact | 2085228899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Po Box 2106 Idaho Falls ID 83403-2106 Ph: (208) 745-7831 | Impact 152 E Main St Ste 106 Rigby ID 83442-5268 Ph: (208) 745-7831 |
| NPI Number | 1356509509 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356509509 | NPI | - | NPPES |
| 807916400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Impact Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 E Main St # 106, Rigby, ID 83442 Phone: 208-522-8899 Fax: 208-522-6596 | |
Child Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 S State St, Rigby, ID 83442 Phone: 208-745-0150 Fax: 208-745-0177 | |
Aspire Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 N 1st W, Rigby, ID 83442 Phone: 208-351-5539 Fax: 208-319-5561 | |
Brian J. Decker, Msn, Fnpc, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3863 E 300 N, Rigby, ID 83442 Phone: 208-403-4140 | |
Unbridled Hope Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4120 E 200 N, Rigby, ID 83442 Phone: 208-538-3450 | |
Impact Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 E Main St Ste 106, Rigby, ID 83442 Phone: 208-745-7831 Fax: 208-745-0658 |