NPI 1811308661
Community Health and Immunization Services, LLC
Practice location
- Address
- 910 W Main St STE 352, Boise, ID 83702-5743
- Phone
- (844) 358-3733
- Mailing address
- 668 N 44th St STE 100w, Phoenix, AZ 85008-6507
Authorised official
- Name
- Rebekah Suazo
- Title
- Medical Billing Supervisor
- Phone
- (480) 646-9099
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1811308661
- Entity type
- Organization
- NPI issued
- 14 May 2014
- Record last updated
- 29 Sep 2021
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.