| North End Psychiatry | |
|
1423 W Franklin St Boise ID 83702-5024 | |
| (208) 345-2212 | |
| (208) 345-2282 |
| Full Name | North End Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1423 W Franklin St, Boise, Idaho |
| Authorized Official Name and Position | Richard A Montgomery (MEMBER) |
| Authorized Official Contact | 2083452212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North End Psychiatry 1423 W Franklin St Boise ID 83702-5024 Ph: (208) 345-2212 | North End Psychiatry 1423 W Franklin St Boise ID 83702-5024 Ph: (208) 345-2212 |
| NPI Number | 1720586969 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/23/2018 |
| Medicare PECOS PAC ID | 6406110360 |
|---|---|
| Medicare Enrollment ID | O20180501003015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720586969 | NPI | - | NPPES |
| Provider Name | James Giacomo Saccomando |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487602330 PECOS PAC ID: 8921079781 Enrollment ID: I20080612000719 |
| Provider Name | Marie A Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619220621 PECOS PAC ID: 0840424503 Enrollment ID: I20131011000775 |
| Provider Name | Jill K Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689065377 PECOS PAC ID: 5395062756 Enrollment ID: I20150323002420 |
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