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Organization

ADAMS COUNTY HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE A LANGSTON-GROVES (EXECUTIVE DIRECTOR)
(208) 253-4242
Entity
Organization

Contact information

Practice address
205 N BERKLEY, COUNCIL, ID 83612-0428
(208) 253-4242
(208) 253-6849
Mailing address
PO BOX 428, COUNCIL, ID 83612-0428
(208) 253-4242
(208) 253-6849

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700100
CIGNA
ID
01
1700101
CIGNA
ID
05
807150400
ID
Enumeration date
06/29/2006
Last updated
03/11/2016
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