| Pinnacle Health Systems | |
|
1522 Elk Creek Drive Idaho Falls ID 83404 | |
| (208) 552-0920 | |
| (208) 529-2564 |
| Full Name | Pinnacle Health Systems |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1522 Elk Creek Drive, Idaho Falls, Idaho |
| Authorized Official Name and Position | Donevan B Neider (OWNER) |
| Authorized Official Contact | 2085520920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Health Systems 1522 Elk Creek Drive Idaho Falls ID 83404 Ph: (208) 552-0920 | Pinnacle Health Systems 1522 Elk Creek Drive Idaho Falls ID 83404 Ph: (208) 552-0920 |
| NPI Number | 1275577827 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 05/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275577827 | NPI | - | NPPES |
| 807134000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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