Idahodhwbh3 Nampa Cmh Psr

NPI #1245368539 in Nampa, Idaho

Provider Information

NPI Number: 1245368539
Entity Type: Organization
Organization Name: Idahodhwbh3 Nampa Cmh Psr
Primary Specialty: Clinic/Center - Rehabilitation
Enumeration Date: Mar 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 823 PARKCENTRE WAY
City: Nampa
State: Idaho
ZIP Code: 83651-1783
Phone: (208) 465-8452

Authorized Official

Name: MR. TODD L HURT, M.S.
Title: FIELD OPERATIONS MANAGER
Phone: (208) 455-7057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X	Primary

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