CEDAR HEALTH CENTER NPI 1184764755

NPI Information

NPI: 1184764755
Provider Name: CEDAR HEALTH CENTER
Classification: Clinical Nurse Specialist - 364SP0807X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Child & Adolescent

Address:
427 N ARTHUR AVE STE B
POCATELLO, ID
ZIP 83204
Phone: (208) 233-2998
Get Directions

CEDAR HEALTH CENTER is a psychiatric/mental health and child and adolescent clinical nurse specialist in Pocatello, ID. CEDAR HEALTH CENTER NPI is 1184764755. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

427 N ARTHUR AVE STE B
POCATELLO, ID
ZIP 83204-006
Phone: (208) 233-2998
Fax: (208) 232-0881

The provider's authorized official is Kathleen Werner-leap .
The authorized official title is Director and has the following contact phone number (208) 233-2998.

The enumeration date for this NPI number is 2/6/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	CNS-15A,N-28258	IDAHO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NPSB4	OTHER	IDAHO	BLUE CROSS
2	00001014993	OTHER	IDAHO	REGENCE BLUE SHIELD

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

NPI Synchronization or Removal

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