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Organization
HIGH COUNTRY BEHAVIORAL HEALTH
Active
Organization
HIGH COUNTRY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON NIZER (CREDENTIALING SPECIALIST)
(307) 885-9888
Entity
Organization
Contact information
Practice address
1248 E 17TH ST, IDAHO FALLS, ID 83404-6126
(208) 542-1026
Mailing address
PO BOX 376, AFTON, WY 83110-0376
(307) 885-9883
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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