NPI 1568739548 KRISTI MATHISTAD CADC PLUMMER ID. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Kristi Mathistad - NPI: 1568739548

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KRISTI MATHISTAD
NPI Number: 1568739548
Entity Type Code: Individual (1)
Gender: F
Credentials: CADC
License Number:
Business Practice Address: 1115 B Street
Plummer, ID - 83851
Business Phone Number: 2086861931
Business Fax Number: 2086865813
Mailing Address: 1115 B Street, Po Box 388
PLUMMER
State: ID
Postal Code: 83851
Phone Number: 2086861931
Fax Number: 2086865813
NPI Enumeration Date: 11/19/2011
NPI Last Update Date: 11/19/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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