FAMILY SUPPORT SERVICES OF NORTH IDAHO NPI 1053536524

NPI Information

  • NPI: 1053536524
  • Provider Name: FAMILY SUPPORT SERVICES OF NORTH IDAHO
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1115 W IRONWOOD DR
    SUITE C
    COEUR D ALENE, ID
    ZIP 83814
  • Phone: (208) 769-4222

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NPI Details

FAMILY SUPPORT SERVICES OF NORTH IDAHO is a mental health (including community mental health center) clinic center in Coeur D Alene, ID. FAMILY SUPPORT SERVICES OF NORTH IDAHO NPI is 1053536524. The provider is registered as an organization entity type.

The provider's business location address is:

1115 W IRONWOOD DR
SUITE C
COEUR D ALENE, ID
ZIP 83814-936
Phone: (208) 769-4222
Fax: (208) 667-7557

The provider's authorized official is Jodi Smith .
The authorized official title is Executive Director and has the following contact phone number (208) 769-4222.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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