Organization
PANHANDLE HEALTH DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOCK JEANNIE REGISTERED NURSE (DISTRICT ADMINISTRATOR)
(208) 415-5100
Entity
Organization
Contact information
Practice address
8500 N ATLAS RD, HAYDEN, ID 83835
(208) 415-5100
(208) 415-5101
Mailing address
8500 N ATLAS RD, HAYDEN, ID 83835
(208) 415-5100
(208) 415-5101
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
ID NP 99
ID
Other
Enumeration date
04/27/2007
Last updated
08/22/2020
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