Organization
STATE OF IDAHO
Active
Other names
DHW IDAHO STATE SCHOOL AND HOPSITAL
Organization subpart
No
Provider details
NPI number
Authorized official
SUE BROETJE (ADMINISTRATIVE DIRECTOR)
(208) 442-2812
Entity
Organization
Contact information
Practice address
1660 11TH AVE N, NAMPA, ID 83687-5000
(208) 442-2812
(208) 467-5978
Mailing address
1660 11TH AVE N, NAMPA, ID 83687-5000
(208) 442-2812
(208) 467-5978
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
01
ID
Other
Enumeration date
03/21/2007
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