| Physicians Mental Health Services | |
|
475 Yellowstone Ave Suite E Pocatello ID 83201-4528 | |
| (208) 478-7422 | |
| (208) 478-1515 |
| Full Name | Physicians Mental Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 475 Yellowstone Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Matthew Andersen (DIRECTOR) |
| Authorized Official Contact | 2082320021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Mental Health Services 1110 Call Creek Dr Suite 7 Pocatello ID 83201-3001 Ph: (208) 232-0021 | Physicians Mental Health Services 475 Yellowstone Ave Suite E Pocatello ID 83201-4528 Ph: (208) 478-7422 |
| NPI Number | 1194063750 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194063750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0314 (Idaho) | Primary |
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