NPI age
19 years
Enumerated 2007-02-09
Across 15 active early intervention provider agency providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010019607 | BLUE SHIELD |
| 01 (ID) | HW272 | BLUE CROSS OF IDAHO |
| 05 (ID) | 0028415 |
Single-site organization. Only one practice location on file.
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