Organization
CORALYN J ALEXANDER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORALYN ALEXANDER MD (OWNER)
(208) 734-3900
Entity
Organization
Contact information
Practice address
488 BLUE LAKES BLVD N, STE 102, TWIN FALLS, ID 83301-4800
(208) 734-3900
(208) 734-9441
Mailing address
PO BOX 2103, TWIN FALLS, ID 83303-2103
(208) 734-3900
(208) 734-9441
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
NP662
ID
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
M6940
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804052700
—
ID
Enumeration date
12/27/2007
Last updated
08/23/2010
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