Eagle River Organization, Ind
Eagle River Organization, Ind is a Community Health Worker in Blackfoot, Idaho. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
494 N Meridian StBlackfoot, ID 83221-1627
Phone: (208) 200-8888
Fax: (208) 785-6170
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1346547098 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Perrenoud — Board Member · (208) 200-8888 |
| NPI enumerated | February 16, 2011 |
| Last updated in NPPES | February 16, 2011 |
| Mailing address | 494 N Meridian St, Blackfoot, ID 83221-1627 |