Provider Demographics
NPI:1225150998
Name:CAMAS SERVICE COORDINATION, INC.
Entity Type:Organization
Organization Name:CAMAS SERVICE COORDINATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROCKEFELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:208-746-4811
Mailing Address - Street 1:1518 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-3108
Mailing Address - Country:US
Mailing Address - Phone:208-746-4811
Mailing Address - Fax:208-746-4811
Practice Address - Street 1:1518 9TH AVE
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-3108
Practice Address - Country:US
Practice Address - Phone:208-746-4811
Practice Address - Fax:208-746-4811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management