Organization
COORDINATED CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA B JAHSMAN M.H.E. (GENERAL PARTNER)
(208) 478-1353
Entity
Organization
Contact information
Practice address
250 N 5TH AVE, SUITE E, POCATELLO, ID 83201-6278
(208) 478-1353
(208) 478-1957
Mailing address
250 N 5TH AVE, SUITE E, POCATELLO, ID 83201-6278
(208) 478-1353
(208) 478-1957
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
04/20/2008
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