NPI age
15 years
Enumerated 2011-02-23
Across 93 active clinic/center providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | HW256 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010018348 | BLUE SHIELD |
Single-site organization. Only one practice location on file.
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