Organization
HUMAN SUPPORTS OF IDAHO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L DICKERSON LMSW (ADMINISTRATOR)
(208) 321-0160
Entity
Organization
Contact information
Practice address
314 BADIOLA ST, CALDWELL, ID 83605-4389
(208) 454-8389
(208) 454-8404
Mailing address
PO BOX 820, CALDWELL, ID 83606-0820
(208) 454-8389
(208) 454-8404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002800100
—
ID
Enumeration date
02/14/2007
Last updated
09/30/2013
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