Id Dept of Health & Welfare Cshp (hd1)

NPI #1962625764 in Hayden, Idaho

Provider Information

NPI Number: 1962625764
Entity Type: Organization
Organization Name: Id Dept of Health & Welfare Cshp (hd1)
Primary Specialty: Pediatrics
Enumeration Date: Apr 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 8500 N ATLAS RD
City: Hayden
State: Idaho
ZIP Code: 83835-8332
Phone: (208) 415-5136

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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