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Contact Information

CASE MANAGERS OF IDAHO, LLC
6003 W OVERLAND RD STE 201
BOISE, ID83709-3076
 Phone: 208-801-6806
 Fax: 208-694-6301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Case Manager/Care Coordinator

171M00000X
 

Community/Behavioral Health

251S00000X
 

Medical

363AM0700X 97 Physician Assistant
 

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for CASE MANAGERS OF IDAHO LLC · (Female)

NPI # 1366007775
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2019
Last updated 05/16/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 1366007775
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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