Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF IDAHO
Active OrganizationSTATE OF IDAHO is a ICF/Individuals with Intellectual Disabilities organization located in HAYDEN, Idaho. NPI 1962755868 is currently active in the NPPES registry. Verify at CMS.
ICF/Individuals with Intellectual Disabilities · HAYDEN, ID
Registration Details
- NPI Number
- 1962755868
- Provider Type
- Organization
- NPI Issued
- Oct 17, 2012 (13.854181867825 yrs)
- Last Updated
- Oct 17, 2012
- License
-
81 (ID)
Practice Information
- Address
-
1182 WEST KYLER AVEHAYDEN, ID, 83835Browse ID providers · Browse ZIP 83835
- Phone
- 2087620244
- Fax
- 2087620269
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
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.