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1396868501
ID DEPT OF HEALTH & WELFARE CSHP (SLC)
BOISE, ID
NPI
1396868501
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Entity Type
Organization
Authorized Contact
PAIGE FINCHER
Acting Program Manager
208-334-4935
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2007-04-10
Last Update Date
2020-08-22
Business Address
ID DEPT OF HEALTH & WELFARE CSHP (SLC)
100 E IDAHO ST STE 200
BOISE, ID 83712-6223
Phone number: 208-381-7092
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Mailing Address
ID DEPT OF HEALTH & WELFARE CSHP (SLC)
PO BOX 83720 4TH FLOOR
BOISE, ID 83720-0036
Phone number: 208-334-4935
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