Organization
ID DEPT OF HEALTH & WELFARE CSHP (HD2)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE FINCHER BSW (ACTING PROGRAM MANAGER)
(208) 334-4935
Entity
Organization
Contact information
Practice address
215 10TH ST, LEWISTON, ID 83501-1910
(208) 799-0386
(208) 799-0349
Mailing address
PO BOX 83720, 4TH FLOOR, BOISE, ID 83720-0036
(208) 334-4935
(208) 332-7307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010022948
BLUE SHIELD
ID
05
—
0028238
—
ID
01
—
HW207
BLUE CROSS OF ID
ID
Enumeration date
04/04/2007
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