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INTEGRATED INTERVENTIONS NPI 1114701877


NPI Information

NPI: 1114701877
Provider Name: INTEGRATED INTERVENTIONS
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1103 E SHERMAN AVE
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 563-6020
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INTEGRATED INTERVENTIONS is a mental health (including community mental health center) clinic center in Coeur D Alene, ID. INTEGRATED INTERVENTIONS NPI is 1114701877. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1103 E SHERMAN AVE
COEUR D ALENE, ID
ZIP 83814-154
Phone: (208) 563-6020
Fax: (208) 563-6020

The provider's authorized official is Terry Edelmann .
The authorized official title is Founder Ceo and has the following contact phone number (208) 651-0095.

The enumeration date for this NPI number is 8/23/2023 and was last updated on 8/23/2023.


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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.