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Contact Information

CENTER FOR BEHAVIORAL HEALTH IDAHO, LLC
92 S COLE RD
BOISE, ID83709-0930
 Phone: 208-367-9021
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Methadone

261QM2800X
Indicates primary specialty

NPI Profile & details for CENTER FOR BEHAVIORAL HEALTH IDAHO, LLC

NPI # 1760738645
LBN Legal business name CENTER FOR BEHAVIORAL HEALTH IDAHO, LLC
Authorized official JAY HIGHAM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2012
Last updated 12/26/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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