CEDAR HEALTH CENTER; NPI #1184764755

Contact Information

CEDAR HEALTH CENTER

427 N ARTHUR AVE STE B
POCATELLO, ID 83204-3006

Phone: 208-233-2998
Fax: 208-232-0881
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Psychiatric/Mental Health, Child & Adolescent	364SP0807X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for CEDAR HEALTH CENTER

NPI Number 1184764755

LBN Legal business name CEDAR HEALTH CENTER

Authorized official KATHLEEN WERNER-LEAP - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/06/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

ID	License #	CNS-15A,N-28258
ID	Other	NPSB4	BLUE CROSS
ID	Other	00001014993	REGENCE BLUE SHIELD

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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CEDAR HEALTH CENTER

Contact Information

Specialty

Psychiatric/Mental Health, Child & Adolescent

NPI Profile & details for CEDAR HEALTH CENTER

Reviews for CEDAR HEALTH CENTER