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NPI Code Detail

MEDICARE: CHILDREN'S HOME SOCIETY OF IDAHO

MEDICARE: CHILDREN'S HOME SOCIETY OF IDAHO
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
1251S00000XCommunity/Behavioral Health Agency
2101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100010006259OTHERIDREGENCE BLUE SHIELD
288567OTHERIDBLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194834010
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S HOME SOCIETY OF IDAHO
Provider Business Mailing Address
First Line : 740 WARM SPRINGS AVE
Second Line :
City : BOISE
State : ID
Zip : 83712-6420
Country : US
Telephone Number : 208-343-7797
Fax Number : 208-343-0064
Provider Business Practice Location Address
First Line : 740 WARM SPRINGS AVE
Second Line :
City : BOISE
State : ID
Zip : 83712-6420
Country : US
Telephone Number : 208-343-7797
Fax Number : 208-343-0064
Authorized Official
Title or Position : COO
Name : MR. THOMAS R YOUNT
Credential : M.D.
Telephone Number : 208-343-7797
Provider Enumeration Date : 08/30/2006
Last Update Date : 01/23/2009

Similar Medicare Providers

1285768705 — MRS. KRISTINE E KENDALL L.C.S.W.
Practice Location Address:
740 WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax: 208-343-0064
1235323320 — RUSTY SMITH PSYD
Practice Location Address:
740 E WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax:
1548454432 — MS. AMAYA AURORA EIGUREN M.A., L.P.C.
Practice Location Address:
740 WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax:
1770730822 — JENNIFER MARIE HART LPC
Practice Location Address:
740 WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax:
1346481413 — AMY THOMPSON LSW
Practice Location Address:
740 WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax: 208-343-0064
1104053230 — MRS. REBECCA LEE WILSEY LSW
Practice Location Address:
740 WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax: 208-343-0064

Directions to “CHILDREN'S HOME SOCIETY OF IDAHO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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