| Powder Basin Associates | |
|
204 Oregon St Kellogg ID 83837-5008 | |
| (208) 783-0427 | |
| (208) 783-1387 |
| Full Name | Powder Basin Associates |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 204 Oregon St, Kellogg, Idaho |
| Authorized Official Name and Position | Lynn A Moore (OWNER PRESIDENT) |
| Authorized Official Contact | 2082090535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powder Basin Associates 7905 N Meadowlark Way Suite E Coeur D Alene ID 83815-5041 Ph: (208) 209-0535 | Powder Basin Associates 204 Oregon St Kellogg ID 83837-5008 Ph: (208) 783-0427 |
| NPI Number | 1184881153 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184881153 | NPI | - | NPPES |
| 807277200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Alliance Family Services North, Inc, Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Emerson Ln, Kellogg, ID 83837 Phone: 208-783-0660 | |
Idaho Dept Of Health & Welfare Reg 1 Amh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Wildcat Way, Kellogg, ID 83837 Phone: 208-784-1351 Fax: 208-784-1356 | |
Heritage Mountain Health Kellogg Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 087-831-2672 Fax: 844-807-3782 | |
A New Hope Social Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-0600 Fax: 208-783-0192 | |
Sequel Alliance Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Emerson Ln, Kellogg, ID 83837 Phone: 208-783-0660 Fax: 208-783-7542 | |
Powder Basin Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Oregon St, Kellogg, ID 83837 Phone: 208-783-0427 Fax: 208-783-1387 |