Suzanne Ruth Auth

Individual provider Active NPI Case Management Agency · Twin Falls, ID

NPI 1689794802 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1689794802
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Agency 251B00000X
Practice address
3543A Highway 93
Twin Falls, ID 83301-0465
Phone
(208) 731-7832
Fax
(208) 734-2613
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

3543A Highway 93
Twin Falls, ID 83301-0465

Mailing address

3543A Highway 93
Twin Falls, ID 83301-0465
Phone (208) 731-7832

Other identifiers

IdentifierTypeStateIssuer
8070565MedicaidID
8070485MedicaidID

Other providers in Twin Falls, ID

All providers in Twin Falls, ID · Case Management Agency in Idaho

Sources for this page

Verify at the official NPI Registry.