Organization
IDAHODHWBH3 NAMPA CMH PSR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD L HURT M.S. (FIELD OPERATIONS MANAGER)
(208) 455-7057
Entity
Organization
Contact information
Practice address
823 PARKCENTRE WAY, NAMPA, ID 83651-1783
(208) 465-8452
(208) 465-8431
Mailing address
823 PARKCENTRE WAY, NAMPA, ID 83651-1783
(208) 465-8452
(208) 465-8431
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010018824
BLUESHIELD
—
05
—
8073441
—
ID
01
—
HW348
BLUE CROSS OF IDAHO
—
Enumeration date
03/01/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us