| Innovative Health Care Concepts, Inc. | |
|
111 E 16th St Idaho Falls ID 83404-5919 | |
| (208) 523-1130 | |
| (208) 529-6501 |
| Full Name | Innovative Health Care Concepts, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 111 E 16th St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Lisa Smith (PROGRAM MANAGER) |
| Authorized Official Contact | 2085231130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Health Care Concepts, Inc. 520 Hickory Ln Idaho Falls ID 83402-4754 Ph: (208) 357-8780 | Innovative Health Care Concepts, Inc. 111 E 16th St Idaho Falls ID 83404-5919 Ph: (208) 523-1130 |
| NPI Number | 1205214475 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 05/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205214475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 202875 (Idaho) | Primary |
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