Provider Demographics
NPI:1093904906
Name:ANCHOR POINTE INC
Entity Type:Organization
Organization Name:ANCHOR POINTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:MCKENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-362-5598
Mailing Address - Street 1:1530 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-8503
Mailing Address - Country:US
Mailing Address - Phone:208-362-5598
Mailing Address - Fax:208-362-5598
Practice Address - Street 1:1530 W STATE ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-8503
Practice Address - Country:US
Practice Address - Phone:208-362-5598
Practice Address - Fax:208-362-5598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)