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CLEARWATER CARE CENTER INC. NPI 1063635696


NPI Information

NPI: 1063635696
Provider Name: CLEARWATER CARE CENTER, INC.

Other Name: CAMPUS VIEW HOME

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
1411 FALLS AVE E
SUITE 703
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-8973
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CLEARWATER CARE CENTER, INC. is an intermediate care facility mental illness in Twin Falls, ID. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. CLEARWATER CARE CENTER, INC. NPI is 1063635696. The provider is registered as an organization entity type.
The provider Other Name Is Campus View Home.

The provider's business location address is:

1411 FALLS AVE E
SUITE 703
TWIN FALLS, ID
ZIP 83301-455
Phone: (208) 734-8973
Fax: (208) 734-1075

The provider's authorized official is Rene Stephens .
The authorized official title is Administrator and has the following contact phone number (208) 734-8973.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310500000XIntermediate Care Facility, Mental IllnessIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18054739MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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