| The Idaho Children's Rehabilitation Center | |
|
1975 Martha Avenue Idaho Falls ID 83404-7533 | |
| (208) 529-4300 | |
| (208) 529-1627 |
| Full Name | The Idaho Children's Rehabilitation Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1975 Martha Avenue, Idaho Falls, Idaho |
| Authorized Official Name and Position | Matt F Smith (MANAGER) |
| Authorized Official Contact | 2085294300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Idaho Children's Rehabilitation Center 1975 Martha Avenue Idaho Falls ID 83404-7533 Ph: (208) 529-4300 | The Idaho Children's Rehabilitation Center 1975 Martha Avenue Idaho Falls ID 83404-7533 Ph: (208) 529-4300 |
| NPI Number | 1689846362 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689846362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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