PORTNEUF RIVER CENTER; NPI #1518006113

Contact Information

PORTNEUF RIVER 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 PORTNEUF RIVER CENTER

NPI Number	`1518006113`
LBN Legal business name	PORTNEUF RIVER CENTER
Authorized official	KATHLEEN WERNER-LEAP - (DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/06/2007
Last updated	07/18/2008 - About 18 years 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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PORTNEUF RIVER CENTER

Contact Information

Specialty

Psychiatric/Mental Health, Child & Adolescent

NPI Profile & details for PORTNEUF RIVER CENTER

Reviews for PORTNEUF RIVER CENTER