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1639201593
IDAHO DEPT OF HEALTH & WELFARE REG 7 CMH P C
BLACKFOOT, ID
NPI
1639201593
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Entity Type
Organization
Authorized Contact
RANDY RODRIQUEZ
Program Manager
208-528-5700
Organization Subpart ?
No
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
Enumeration Date
2007-03-09
Last Update Date
2010-08-10
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG 7 CMH P C
720 E ALICE
BLACKFOOT, ID 83221-0129
Phone number: 208-785-5871
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Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REG 7 CMH P C
720 E ALICE PO BOX 129
BLACKFOOT, ID 83221-0129
Phone number: 208-785-5871
Copy
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