State Of Idaho

  • 1962755868 NPI Number
  • |
  • Actived: 11 years ago
  • |
State Of Idaho is a health care provider based in Hayden, ID. The NPI Number is 1962755868 and it has been active since 11 years ago. The specialty is Intermediate Care Facility, Mentally Retarded, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Intermediate Care Facility, Mentally Retarded services, State Of Idaho is an excellent option. We are here to help you get the care you need.

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Overview of State Of Idaho

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 10/17/2012
  • Last updated: 10/17/2012

Primary Scrop of Practice

  • Taxonomy Code: 315P00000X
  • Specialty: Intermediate Care Facility, Mentally Retarded
  • License Number: 81
  • License State: ID

Provider Mailing Address

  • Address: 1660 11th Ave N
    Nampa, ID 83687
  • Phone: 208-442-2812
  • Fax: 208-467-5978

Provider Practice Location

  • Address: 1182 West Kyler Ave
    Hayden, ID 83835
  • Phone: 208-762-0244
  • Fax: 208-762-0269

Authorized Official

  • Name: Susan Broetje
  • Position/Title: Administrator
  • Telephone Number: 208-697-0625

Scope of Practice

  • Taxonomy Code: 315P00000X
  • Specialty: Intermediate Care Facility, Mentally Retarded
  • License Number: 81
  • License State: ID
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for State Of Idaho?
  • A: The npi number for State Of Idaho is 1962755868.
  • Q: What are State Of Idaho's specialties?
  • A: State Of Idaho's specialties are Intermediate Care Facility, Mentally Retarded and different specialities.
  • Q: Where is State Of Idaho business practice location?
  • A: State Of Idaho business practice location is 1182 West Kyler Ave, Hayden, ID 83835.
  • Q: How to contact State Of Idaho?
  • A: You can contact State Of Idaho via 208-762-0244.
  • Q: What is the authorized official for State Of Idaho?
  • A: The authorized office name is Susan Broetje with position/title is Administrator and you can reach the authorized official via phone number 2086970625.
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