An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization...
ID license ##17taxonomy 283Q00000X
Identifiers
Type
Value
Notes
01 (ID)
00844
BLUE CROSS OF IDAHO
05 (ID)
002821500
01 (ID)
20315
REGENCE BLUE SHIELD OF ID
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
State Hospital South
Type code 5recorded 2007-05-21
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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