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Contact Information

STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
700 E ALICE ST
BOX 400
BLACKFOOT, ID83221-4925
 Phone: 208-785-1200
 Fax: 208-785-8518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE

NPI Number 1518022342
LBN Legal business name STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Authorized official TRACEY SESSIONS - (ADMINISTRATIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2006
Last updated 02/08/2012 - About 14 years ago
Identifiers
ID License # H17
ID Medicaid 002826200
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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