A Referral & Information Service
Organization Active NPI Case Management Agency · Twin Falls, ID
NPI 1346468006 · NPPES record last updated May 20, 2008
Key facts
- NPI
- 1346468006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- A REFERRAL & INFORMATION SERVICE
- Practice address
- 1537 Addison Ave E
Twin Falls, ID 83301-5342 - Phone
- (208) 733-0443
- Fax
- (208) 735-1375
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Miss Brenda Elaine Degner
- Title
- Office Manager
- Phone
- (208) 733-0443
National Provider Directory
Locations
1537 Addison Ave E
Twin Falls, ID 83301
Phone (208) 410-7725
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
1537 Addison Ave E
Twin Falls, ID 83301-5342
Mailing address
1537 Addison Ave E
Twin Falls, ID 83301-5342
Phone (208) 733-0443
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807675400 | Medicaid | ID | |
| 807669900 | Medicaid | ID |
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All providers in Twin Falls, ID · Case Management Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.