LEGACY VILLAGE OUTPATIENT ID, LLC

NPI # 

Practice Address:

800 W Main St Ste 1460

Boise, ID, 83702-5983

Practice Phone:

800-997-6977

Practice Fax:

661-489-0573

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X

Updated by NPPES on 5/31/2023. You can view the original data set for NPI # 1225721707 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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LEGACY VILLAGE OUTPATIENT ID, LLC's

CMS CPT® coding data

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LEGACY VILLAGE OUTPATIENT ID, LLC's

CMS prescription data

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