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Organization

THE CHILDREN'S CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MAGGIE M SCHWEITZER (BILLING SPECIALISTS)
(208) 529-4300
Entity
Organization

Contact information

Practice address
1675 CURLEW DRIVE, IDAHO FALLS, ID 83406
(208) 529-4300
(208) 529-1627
Mailing address
1675 CURLEW DRIVE, IDAHO FALLS, ID 83406
(208) 529-4300
(208) 529-1627

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010141601
REGENCE BLUE SHIELD
ID
01
8L659
BLUE CROSS OF IDAHO
ID
Enumeration date
08/19/2006
Last updated
08/22/2020
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