Organization
COMMUNITY PARTNERSHIPS OF IDAHO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BRIGHT (MANAGER)
(208) 405-0587
Entity
Organization
Contact information
Practice address
3076 N FIVE MILE RD, BOISE, ID 83713-5215
(208) 376-4999
(208) 376-4988
Mailing address
3098 N FIVE MILE RD, SUITE A, BOISE, ID 83713-5215
(208) 376-4999
(208) 323-9349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290534
BLUE SHIELD OF IDAHO
ID
05
—
804275500
—
ID
01
—
8F967
BLUE CROSS OF IDAHO
ID
Enumeration date
01/22/2007
Last updated
09/05/2019
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