NPI 1063540359
Idahodhwbh3 Caldwell Cmh Psr
Practice location
- Address
- 3402 Franklin Rd, Caldwell, ID 83605-6932
- Phone
- (208) 459-0092
- Fax
- (208) 454-7714
Authorised official
- Name
- Todd L Hurt
- Title
- Field Operations Manager
- Phone
- (208) 455-7057
Registered specialties
Rehabilitation Clinic/Center
Primary
Registry record
- NPI
- 1063540359
- Entity type
- Organization
- NPI issued
- 1 Mar 2007
- Record last updated
- 22 Aug 2020
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.