Centerpoint Psychiatry And Family Practice
Family Medicine in Rexburg, ID. Organization (NPI-2).
NPI number1558828236
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1558828236
- Entity type
- Organization (NPI-2)
- Legal business name
- Centerpoint Psychiatry And Family Practice
- Organization subpart
- Yes
- Enumeration date
- Feb 28, 2019
- Certification date
- May 20, 2024
- Last updated
- May 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Practice location
393 E 2nd NRexburg, ID 83440-1605
Phone 208-359-4840 · Fax 208-359-9010
Mailing address
393 E 2nd NRexburg, ID 83440-1605
Phone 208-359-4840 · Fax 208-359-9010
Authorized official
Vonda Winfree
Co Owner Administrator
2083594840
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