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NPI Code Detail

MEDICARE: ARTHUR S MCGINN III CADC

MEDICARE:   ARTHUR S MCGINN III CADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1760120042
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTHUR S MCGINN III CADC
Provider Business Mailing Address
First Line : 1216 W ELM CT
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-2031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 524 S 9TH AVE STE 103
Second Line :
City : CALDWELL
State : ID
Zip : 83605-5072
Country : US
Telephone Number : 208-454-8555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2022
Last Update Date : 05/25/2022

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Directions to “ ARTHUR S MCGINN III CADC” Practice Location

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