NPI age
19 years
Enumerated 2007-01-09
Across 2 active clinic/center providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010012937 | REGENCE BLUE SHIELD |
| 01 (ID) | 00216 | BLUE CROSS |
| 05 (ID) | 002292400 |
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of Kootenai Health, Inc..
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