Organization
IDAHO DEPARTMENT OF HEALTH & WELFARE
Active
Parent organization
IDAHO DEPARTMENT OF HEALTH & WELFARE
Other names
State Hospital West
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDAHO DEPARTMENT OF HEALTH & WELFARE
Authorized official
CHRISTINA GALLEGOS (ADMINISTRATIVE SUPPORT MANAGER)
(208) 606-7777
Entity
Organization
Contact information
Practice address
1652 11TH AVE N, NAMPA, ID 83687-5000
(208) 606-7777
(208) 606-7800
Mailing address
1652 11TH AVE N, NAMPA, ID 83687-5000
(208) 606-7777
(208) 606-7800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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