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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

NPI Number 1366007775
LBN Legal business name CASE MANAGERS OF IDAHO, LLC
Authorized official PATRICK KIRK - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2019
Last updated 05/16/2024 - About 2 years ago
Identifiers
ID Medicaid 1366007775
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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