NPI age
19 years
Enumerated 2007-03-22
Across 806 active community/behavioral health providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 18833 | GROUP HEALTH |
| 01 (ID) | 10017829 | REGENCE |
| 01 (ID) | L-2243 | BLUE CROSS |
Single-site organization. Only one practice location on file.
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