Salmon River Serenity Wellness Pllc | |
2645 N Cole Rd Ste F Boise ID 83704-5970 | |
(208) 413-1087 | |
Not Available |
Full Name | Salmon River Serenity Wellness Pllc |
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Speciality | Social Worker |
Location | 2645 N Cole Rd Ste F, Boise, Idaho |
Authorized Official Name and Position | Steve Thomas Welsh (CLINICIAN) |
Authorized Official Contact | 2084131087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Salmon River Serenity Wellness Pllc Po Box 4222 Boise ID 83711-4222 Ph: (208) 413-1087 | Salmon River Serenity Wellness Pllc 2645 N Cole Rd Ste F Boise ID 83704-5970 Ph: (208) 413-1087 |
NPI Number | 1861245201 |
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Provider Enumeration Date | 04/08/2024 |
Last Update Date | 04/08/2024 |
Certification Date | 04/07/2024 |
Medicare PECOS PAC ID | 0840639571 |
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Medicare Enrollment ID | O20240415002017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861245201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Steve T Welsh |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912498825 PECOS PAC ID: 0749629475 Enrollment ID: I20240418002489 |
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