| Primary Behavioral Health Services | |
|
8620 W Emerald St Ste 150 Boise ID 83704-4839 | |
| (208) 617-3265 | |
| (208) 617-3270 |
| Full Name | Primary Behavioral Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 8620 W Emerald St Ste 150, Boise, Idaho |
| Authorized Official Name and Position | Kristi Olson (OWNER) |
| Authorized Official Contact | 2087131065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Behavioral Health Services 8620 W Emerald St Ste 150 Boise ID 83704-4839 Ph: (208) 617-3265 | Primary Behavioral Health Services 8620 W Emerald St Ste 150 Boise ID 83704-4839 Ph: (208) 617-3265 |
| NPI Number | 1821677113 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 01/21/2024 |
| Certification Date | 10/18/2022 |
| Medicare PECOS PAC ID | 1759726920 |
|---|---|
| Medicare Enrollment ID | O20240227003200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821677113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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