Mh Health Care Services, PC

NPI #1134508443 in Blackfoot, Idaho

Provider Information

NPI Number: 1134508443
Entity Type: Organization
Organization Name: Mh Health Care Services, PC
Subpart: Yes (part of a larger organization)
Parent Organization: MH HEALTH CARE SERVICES, PC
Primary Specialty: Nurse Practitioner
Enumeration Date: May 20, 2015
Last Updated: May 20, 2015

Practice Location

Address: 415 W COLLINS RD
Address 2: C/O BAF EMPLOYEE HEALTH CENTER
City: Blackfoot
State: Idaho
ZIP Code: 83221-5642
Phone: (802) 857-0400

Authorized Official

Name: NANCY CARLSON, M.D.
Title: PRESIDENT
Phone: (802) 857-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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