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Contact Information

PINNACLE HEALTH SYSTEMS
1522 ELK CREEK DRIVE
IDAHO FALLS, ID83404
 Phone: 208-552-0920
 Fax: 208-529-2564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PINNACLE HEALTH SYSTEMS · (Female)

NPI # 1275577827
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2006
Last updated 05/06/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 807134000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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