Organization
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Active
Parent organization
STATE OF IDAHO DEPARTMENT OF HEALTH AND WEL
Other names
SHS Psychiatric Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF IDAHO DEPARTMENT OF HEALTH AND WEL
Authorized official
MS. LYNN D SHIELDS (PATIENT ACCOUNT SPEC)
(208) 785-8462
Entity
Organization
Contact information
Practice address
700 EAST ALICE, BLACKFOOT, ID 83221
(208) 785-8462
Mailing address
P.O. BOX 400, BLACKFOOT, ID 83221
(208) 785-8462
(208) 785-8518
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
02/11/2015
Last updated
03/25/2015
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