| Stewards Of Recovery | |
|
4058 E 73 N Rigby ID 83442-5716 | |
| (208) 520-4793 | |
| Not Available |
| Full Name | Stewards Of Recovery |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4058 E 73 N, Rigby, Idaho |
| Authorized Official Name and Position | Janna Kulow (COO) |
| Authorized Official Contact | 2085204793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewards Of Recovery 4058 E 73 N Rigby ID 83442-5716 Ph: (208) 520-4793 | Stewards Of Recovery 4058 E 73 N Rigby ID 83442-5716 Ph: (208) 520-4793 |
| NPI Number | 1720486228 |
|---|---|
| Provider Enumeration Date | 12/15/2014 |
| Last Update Date | 12/15/2014 |
| Medicare PECOS PAC ID | 8527327220 |
|---|---|
| Medicare Enrollment ID | O20180516002215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720486228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Steven K Orme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013398064 PECOS PAC ID: 0042574469 Enrollment ID: I20180510000563 |
| Provider Name | Shawn L Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528610532 PECOS PAC ID: 4385976463 Enrollment ID: I20191022001902 |
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