# CEDAR HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013063585
- **Authorized official:** MRS. KATHLEEN WERNER LEAP CNS, NPP (OWNER ADMINISTRATOR)
- **Authorized official phone:** (208) 233-2998

## Contact information

- **Practice address:** 427 N ARTHUR AVE, SUITE B, POCATELLO, ID 83204-3006
- **Practice address phone:** (208) 233-2998
- **Practice address fax:** (208) 232-0881
- **Mailing address:** 427 N ARTHUR AVE, SUITE B, POCATELLO, ID 83204-3006
- **Mailing address phone:** (208) 233-2998
- **Mailing address fax:** (208) 232-0881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 08/22/2020