| Lemhi Valley Social Services, Inc. | |
|
1211 Main St Suite 2 Salmon ID 83467-4303 | |
| (208) 756-2927 | |
| (208) 756-1518 |
| Full Name | Lemhi Valley Social Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1211 Main St, Salmon, Idaho |
| Authorized Official Name and Position | Mary Smith (OWNER) |
| Authorized Official Contact | 2085245607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemhi Valley Social Services, Inc. 1380 Benton St Idaho Falls ID 83401-4254 Ph: (208) 523-2490 | Lemhi Valley Social Services, Inc. 1211 Main St Suite 2 Salmon ID 83467-4303 Ph: (208) 756-2927 |
| NPI Number | 1043344393 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043344393 | NPI | - | NPPES |
| 804145700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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