MIDVALLEY HEALTHCARE PLLC NPI 1336553692

NPI Information

MIDVALLEY HEALTHCARE PLLC is a rehabilitation and substance use disorder clinic center in Meridian, ID. MIDVALLEY HEALTHCARE PLLC NPI is 1336553692. The provider is registered as an organization entity type.
The provider Is Doing Business As Midvalley Healthcare.

The provider's business location address is:

2321 E GALA ST
SUITE 3
MERIDIAN, ID
ZIP 83642-692
Phone: (208) 888-5848
Fax: (208) 888-0884

The provider's authorized official is Kristina Harrington .
The authorized official title is Co-owner and has the following contact phone number (208) 888-5848.

The CLIA number assigned to this NPI record is 13D2178527 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2014 and was last updated on 11/16/2021.

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:

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