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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF IDAHO

Active Organization

STATE OF IDAHO is a Community/Behavioral Health organization located in BOISE, Idaho. NPI 1790131027 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · BOISE, ID

Registration Details

NPI Number
1790131027
Provider Type
Organization
NPI Issued
May 5, 2016 (10.303934738732 yrs)
Last Updated
May 5, 2016
License
LCPC-5579 (ID)

Practice Information

Address
1720 N WESTGATE DR
BOISE, ID, 837047164
Browse ID providers · Browse ZIP 83704
Phone
2083340824
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Organizations in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.