PHYSICIANS MENTAL HEALTH SERVICES NPI 1194063750

NPI Information

NPI: 1194063750
Provider Name: PHYSICIANS MENTAL HEALTH SERVICES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
475 YELLOWSTONE AVE
SUITE E
POCATELLO, ID
ZIP 83201
Phone: (208) 478-7422
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PHYSICIANS MENTAL HEALTH SERVICES is a mental health (including community mental health center) clinic center in Pocatello, ID. PHYSICIANS MENTAL HEALTH SERVICES NPI is 1194063750. The provider is registered as an organization entity type.

The provider's business location address is:

475 YELLOWSTONE AVE
SUITE E
POCATELLO, ID
ZIP 83201-528
Phone: (208) 478-7422
Fax: (208) 478-1515

The provider's authorized official is Matthew Andersen .
The authorized official title is Director and has the following contact phone number (208) 232-0021.

The enumeration date for this NPI number is 1/16/2013 and was last updated on 4/25/2016.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0314	IDAHO	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: 11/14/2023

NPI Synchronization or Removal

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