Provider Demographics
NPI:1528364544
Name:CENTERPOINTE, INC.
Entity Type:Organization
Organization Name:CENTERPOINTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KILDOW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:208-442-7791
Mailing Address - Street 1:915 PARKCENTRE WAY STE 7
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-1748
Mailing Address - Country:US
Mailing Address - Phone:208-442-7791
Mailing Address - Fax:208-442-7792
Practice Address - Street 1:915 PARKCENTRE WAY STE 7
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-1748
Practice Address - Country:US
Practice Address - Phone:208-442-7791
Practice Address - Fax:208-442-7792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)