| Zxm Psychiatry Pc | |
|
118 9th Ave N Twin Falls ID 83301-6352 | |
| (208) 357-7800 | |
| Not Available |
| Full Name | Zxm Psychiatry Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 9th Ave N, Twin Falls, Idaho |
| Authorized Official Name and Position | Zachary X Morairty (PSYCHIATRIST) |
| Authorized Official Contact | 2085377800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zxm Psychiatry Pc 148 Blue Lakes Blvd N # 210 Twin Falls ID 83301-5235 Ph: () - | Zxm Psychiatry Pc 118 9th Ave N Twin Falls ID 83301-6352 Ph: (208) 357-7800 |
| NPI Number | 1316564891 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Medicare PECOS PAC ID | 4385061852 |
|---|---|
| Medicare Enrollment ID | O20200828001225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316564891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Zachary X Morairty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154526549 PECOS PAC ID: 2264606847 Enrollment ID: I20120814000131 |
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