| Side By Side Family Services | |
|
1422 E 17th St Suite A Idaho Falls ID 83404-6285 | |
| (208) 419-5110 | |
| Not Available |
| Full Name | Side By Side Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1422 E 17th St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Patrick Duffin (GENERAL MANAGER/ADMINISTRATOR) |
| Authorized Official Contact | 2084195110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Side By Side Family Services 6302 E Sharptail Rd Idaho Falls ID 83401-5922 Ph: (208) 419-5110 | Side By Side Family Services 1422 E 17th St Suite A Idaho Falls ID 83404-6285 Ph: (208) 419-5110 |
| NPI Number | 1669815726 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669815726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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