Organization
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Active
Other names
State Hospital North
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER SHUFFIELD DSW, LCSW, CTP-C (INTERIM ADMINISTRATIVE DIRECTOR)
(208) 476-4511
Entity
Organization
Contact information
Practice address
300 HOSPITAL DRIVE, OROFINO, ID 83544-9034
(208) 476-4511
(208) 476-7898
Mailing address
300 HOSPITAL DRIVE, OROFINO, ID 83544-9034
(208) 476-4511
(208) 476-7898
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
24
ID
Other
Enumeration date
11/28/2006
Last updated
05/19/2025
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