| Ostermiller Counseling Services Inc. | |
|
242 E 7th N Ste 4 Rexburg ID 83440-3550 | |
| (208) 359-9683 | |
| (208) 359-9683 |
| Full Name | Ostermiller Counseling Services Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 242 E 7th N Ste 4, Rexburg, Idaho |
| Authorized Official Name and Position | Jared Ryan Ostermiller (OWNER MANAGER) |
| Authorized Official Contact | 2083599683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ostermiller Counseling Services Inc. 242 E 7th N Ste 4 Rexburg ID 83440-3550 Ph: (208) 359-9683 | Ostermiller Counseling Services Inc. 242 E 7th N Ste 4 Rexburg ID 83440-3550 Ph: (208) 359-9683 |
| NPI Number | 1639292626 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 03/16/2021 |
| Certification Date | 09/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639292626 | NPI | - | NPPES |
| 806530400 | Medicaid | ID | |
| 8J059 | Other | ID | BLUE CROSS GROUP NUMBER |
| 806867300 | Medicaid | ID | |
| 000010151377 | Other | ID | BLUE SHIELD GROUP # |
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