| Pioneer Health Resources | |
|
890 N. Cole Rd. Boise ID 83704 | |
| (208) 322-1026 | |
| (208) 322-1029 |
| Full Name | Pioneer Health Resources |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 890 N. Cole Rd., Boise, Idaho |
| Authorized Official Name and Position | Donald Gross (OWNER) |
| Authorized Official Contact | 2083221026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Health Resources 890 N. Cole Rd. Boise ID 83704 Ph: (208) 322-1026 | Pioneer Health Resources 890 N. Cole Rd. Boise ID 83704 Ph: (208) 322-1026 |
| NPI Number | 1518188507 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 12/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518188507 | NPI | - | NPPES |
| 1609973577 | Medicaid | ID | |
| 807639800 | Other | ID | BOISE-SC |
| 1760601751 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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