National Provider Identifier Database

CEDAR HEALTH CENTER
Psychiatric/Mental Health, Child & Adolescent


Contact Information

CEDAR HEALTH CENTER
427 N ARTHUR AVE STE B
POCATELLO, ID83204-3006
Phone: 208-233-2998
Fax: 208-232-0881
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health, Child & Adolescent 364SP0807X

* Indicates primary specialty

NPI Profile & details for CEDAR HEALTH CENTER

NPI Number 1184764755
Legal business name
LBN
CEDAR HEALTH CENTER
Authorized official KATHLEEN WERNER-LEAP - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/06/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: CNS-15A,N-28258
  • ID Other: NPSB4 BLUE CROSS
  • ID Other: 00001014993 REGENCE BLUE SHIELD

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.

Reviews for CEDAR HEALTH CENTER

There are currently no reviews for CEDAR HEALTH CENTER


NPIdb - Home
v2.201