Organization
BHG LXXXVII, LLC
Active
Other names
BHG Medical Services - Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
ZACK RAGSDALE (DIRECTOR)
(512) 454-5911
Entity
Organization
Contact information
Practice address
2426 N MERRITT CREEK LOOP, SUITE B, OBOT ROOM #100, COEUR D'ALENE, ID 83814-4961
(208) 296-5385
(208) 296-5387
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244-3946
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
09/23/2024
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