Organization · Type 2 NPI
Idaho Dept of Health & Welfare Reg 7 CMH P C
Rehabilitation Clinic/Center · Blackfoot, ID
NPI number
1639201593
Active
Practice location
720 E Alice
Blackfoot, ID 83221-0129
Fax (208) 785-5877
Mailing address
720 E Alice PO Box 129
Blackfoot, ID 83221-0129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Clinic/Center Primary | 261QR0400X | None listed |
Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
Other rehabilitation clinic/center providers in Blackfoot
About NPI 1639201593
Idaho Dept of Health & Welfare Reg 7 CMH P C's National Provider Identifier is 1639201593, issued on Mar 9, 2007. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Blackfoot, ID. The record was last updated on Aug 10, 2010.