Organization
RURBAN PLLC
Active
Other names
Rurban Health
Organization subpart
No
Provider details
NPI number
Authorized official
RIO PETERSONO PETERSON PMHNP (FOUNDER/ CEO)
(208) 686-8060
Entity
Organization
Contact information
Practice address
605 S OLIVE AVE, SANDPOINT, ID 83864-1154
(208) 899-9312
Mailing address
605 S OLIVE AVE, SANDPOINT, ID 83864-1154
(208) 899-9312
(208) 686-8060
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/01/2022
Last updated
12/22/2022
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