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Organization

CEDAR HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN WERNER-LEAP CNS, NPP (DIRECTOR)
(208) 233-2998
Entity
Organization

Contact information

Practice address
427 N ARTHUR AVE STE B, POCATELLO, ID 83204-3006
(208) 233-2998
(208) 232-0881
Mailing address
427 N ARTHUR AVE STE B, POCATELLO, ID 83204-3006
(208) 233-2998
(208) 232-0881

Taxonomy

Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CNS-15A,N-28258
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00001014993
REGENCE BLUE SHIELD
ID
01
NPSB4
BLUE CROSS
ID
Enumeration date
02/06/2007
Last updated
08/22/2020
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