| Payette Family Services | |
|
2007 E Quail Run Rd Suite 1 Emmett ID 83617-5059 | |
| (208) 365-5445 | |
| (208) 365-6226 |
| Full Name | Payette Family Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2007 E Quail Run Rd, Emmett, Idaho |
| Authorized Official Name and Position | Michael S Lee (CO-OWNER) |
| Authorized Official Contact | 2083655445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Payette Family Services 2007 E Quail Run Rd Suite 1 Emmett ID 83617-5059 Ph: (208) 365-5445 | Payette Family Services 2007 E Quail Run Rd Suite 1 Emmett ID 83617-5059 Ph: (208) 365-5445 |
| NPI Number | 1225107923 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 09/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225107923 | NPI | - | NPPES |
| 806586200 | Medicaid | ID | |
| 807346400 | Medicaid | ID | |
| 807360700 | Medicaid | ID | |
| 807378100 | Medicaid | ID | |
| 806575100 | Medicaid | ID | |
| 806598900 | Medicaid | ID | |
| 806582400 | Medicaid | ID |
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