Mhp Idaho LLC

NPI #1902497795 in Lewiston, Idaho

Provider Information

NPI Number: 1902497795
Entity Type: Organization
Organization Name: Mhp Idaho LLC
Primary Specialty: Clinic/Center
Enumeration Date: Feb 3, 2021
Last Updated: May 19, 2021

Practice Location

Address: 1534 IDAHO ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2573
Phone: (208) 305-6131

Authorized Official

Name: MEGAN L WALKER
Title: CHIEF CLINICAL OFFICER
Phone: (208) 305-6131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Registered Nurse	163W00000X
Internal Medicine	207R00000X
Community/Behavioral Health	251S00000X
Clinic/Center	261Q00000X	Primary

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