Organization · Type 2 NPI

Idaho Dept of Health &welfare Reg 6 CMH PSR P

Rehabilitation Clinic/Center · Pocatello, ID

NPI number 1497887871 Active

Practice location

421 Memorial Dr
Pocatello, ID 83201-4008

Fax (208) 236-6328

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Clinic/Center Primary 261QR0400XNone listed

Rehabilitation Clinic/Center: Definition to come...

27 other providers at this address

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About NPI 1497887871

Idaho Dept of Health &welfare Reg 6 CMH PSR P's National Provider Identifier is 1497887871, issued on Mar 12, 2007. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Pocatello, ID. The record was last updated on Oct 22, 2010.