Provider Demographics
NPI:1639270937
Name:A PLUS SOLUTIONS CENTER LLC
Entity Type:Organization
Organization Name:A PLUS SOLUTIONS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-678-3555
Mailing Address - Street 1:PO BOX 969
Mailing Address - Street 2:
Mailing Address - City:BURLEY
Mailing Address - State:ID
Mailing Address - Zip Code:83318
Mailing Address - Country:US
Mailing Address - Phone:208-678-3555
Mailing Address - Fax:208-678-3556
Practice Address - Street 1:2311 PARKE AVE
Practice Address - Street 2:UNIT 3 SUITE 12
Practice Address - City:BURLEY
Practice Address - State:ID
Practice Address - Zip Code:83318
Practice Address - Country:US
Practice Address - Phone:208-678-3555
Practice Address - Fax:208-678-3556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID8L717OtherBLUE CROSS