NPI 1003853235

Sunbridge Healthcare LLC

Organisation Psychiatric Hospital Boise, ID

Practice location

Address: 8050 Northview St, Boise, ID 83704-7126
Phone: (208) 327-0504
Fax: (208) 327-0594
Mailing address: 101 Sun Ave NE Compliance Department, Albuquerque, NM 87109-4373

Authorised official

Name: William A. Mathies
Title: President Director
Phone: (505) 468-5013

Registered specialties (3)

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 1650 HP (PHARM) (ID)

Other Psychiatric Hospital providers in Idaho →

Psychiatric Hospital

Hospitals Taxonomy 283Q00000X Licence 55 (ID)

Psychiatric Hospital

Hospitals Taxonomy 283Q00000X Licence 13D858805 (LAB) (ID)

Registry record

NPI: 1003853235
Entity type: Organization
NPI issued: 31 May 2006
Record last updated: 22 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.