| Rhmh | |
|
1111 S Orchard St Suite 290 Boise ID 83705-1966 | |
| (208) 343-2770 | |
| (208) 343-2720 |
| Full Name | Rhmh |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1111 S Orchard St, Boise, Idaho |
| Authorized Official Name and Position | Rick A Heikkila (OWNER) |
| Authorized Official Contact | 2083717089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhmh 16703 N Yorkshire Ln Nampa ID 83687-9437 Ph: (208) 371-7089 | Rhmh 1111 S Orchard St Suite 290 Boise ID 83705-1966 Ph: (208) 343-2770 |
| NPI Number | 1972626620 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 06/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972626620 | NPI | - | NPPES |
| 807363500 | Medicaid | ID | |
| 808466500 | Medicaid | ID | |
| 807541100 | Medicaid | ID | |
| 807127600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-25602 (Idaho) | Primary |
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