Provider Demographics
NPI:1720691249
Name:UZIMA HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:UZIMA HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:ALYSSA
Authorized Official - Last Name:STARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-867-9403
Mailing Address - Street 1:1111 S ORCHARD ST STE 245
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-1964
Mailing Address - Country:US
Mailing Address - Phone:208-867-9403
Mailing Address - Fax:888-786-4470
Practice Address - Street 1:1111 S ORCHARD ST STE 245
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-1964
Practice Address - Country:US
Practice Address - Phone:208-867-9403
Practice Address - Fax:888-786-4470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty