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Organization

B&C CASE MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALLY C COLE (SERVICE COORDINATOR)
12085667788
Entity
Organization

Contact information

Practice address
105 S. RAILROAD, COUNCIL, ID 83612-0739
(120) 856-6778
(120) 835-2477
Mailing address
PO BOX 739, 105 S. RAILROAD, COUNCIL, ID 83612-0739
(120) 856-6778
(120) 835-2477

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8072839
ID
05
8072840
ID
05
8074422
ID
Enumeration date
01/17/2007
Last updated
08/22/2020
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