Id Dept of Health & Welfare Cshp (hd2)

NPI #1487776159 in Lewiston, Idaho

Provider Information

NPI Number: 1487776159
Entity Type: Organization
Organization Name: Id Dept of Health & Welfare Cshp (hd2)
Primary Specialty: Pediatrics
Enumeration Date: Apr 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 215 10TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-1910
Phone: (208) 799-0386

Authorized Official

Name: PAIGE FINCHER, BSW
Title: ACTING PROGRAM MANAGER
Phone: (208) 334-4935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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