A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
ID license #42taxonomy 101Y00000X
Identifiers
Type
Value
Notes
01 (ID)
E0997
BLUE CROSS
01 (ID)
83758
BLUE CROSS
01 (ID)
000010018067
REGENCE BLUE SHIELD
05 (ID)
805712000
01 (ID)
CG7380
RR MEDICARE
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Kootenai Medical Center NIBH Group
Type code 3recorded 2020-10-02
Kootenai Medical Center NIBH Group
Type code 3recorded 2007-12-12
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Subpart of Kootenai Health, Inc..
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