NPI age
19 years
Enumerated 2007-03-08
Across 806 active community/behavioral health providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010025421 | BLUE SHIELD |
| 05 (ID) | 8073513 | |
| 01 (ID) | HW173 | BLUE CROSS |
Single-site organization. Only one practice location on file.
Subpart of Idaho Dept. Of Health & Welfare.
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