| Vista Outreach - Psr | |
|
127 S 7th St St Maries ID 83861-1801 | |
| (208) 245-1920 | |
| (208) 245-9206 |
| Full Name | Vista Outreach - Psr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 127 S 7th St, St Maries, Idaho |
| Authorized Official Name and Position | Gail Mills (CORPORATE COMPLIANCE MANAGER) |
| Authorized Official Contact | 2082454576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Outreach - Psr 820 Elm St St Maries ID 83861-2119 Ph: (208) 245-4576 | Vista Outreach - Psr 127 S 7th St St Maries ID 83861-1801 Ph: (208) 245-1920 |
| NPI Number | 1194892489 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194892489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S 7th St, St Maries, ID 83861 Phone: 208-245-2541 Fax: 208-245-7131 | |
Sequel Alliance Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Homer Dr, St Maries, ID 83861 Phone: 208-245-5427 Fax: 208-245-5427 | |
Vista Outreach - Mental Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 S 7th St, St Maries, ID 83861 Phone: 208-245-1920 Fax: 208-245-9206 | |
Lone Pine Behavioral Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1030 S 3rd St, St Maries, ID 83861 Phone: 208-274-3430 | |
Alliance Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Homer Dr, St Maries, ID 83861 Phone: 208-245-5427 | |
Heritage Health Restored Paths Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 120 S 13th St, St Maries, ID 83861 Phone: 208-245-4363 Fax: 208-245-4349 |