OrganizationIdaho Children'S CenterCommunity/Behavioral HealthAgenciesPractice Address1675 Curlew Dr, Ammon, ID 83406-4718(208) 529-4300PECOS EnrollmentBased on the most recent information from CMS, provider Idaho Children'S Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1346433232Provider TypeOrganizationFull NameIdaho Children'S CenterSubpartNoEnumeration Date8/23/2007Last Updated8/23/2007Contact InformationPractice LocationPractice Address1675 Curlew Dr, Ammon, ID 83406-4718Phone(208) 529-4300Fax(208) 529-1627Mailing LocationMailing Address1675 Curlew Dr, Ammon, ID 83406-4718Phone(208) 529-4300Fax(208) 529-1627Authorized OfficialNameSmith, Matt F (Chief Executive Officer)Phone(208) 529-4300Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer