IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR IF NPI 1275669152

NPI Information

  • NPI: 1275669152
  • Provider Name: IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR IF
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 150 SHOUP AVE
    SUITE 17
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 528-5700

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NPI Details

IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR IF is a mental health (including community mental health center) clinic center in Idaho Falls, ID. IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR IF NPI is 1275669152. The provider is registered as an organization entity type.

The provider's business location address is:

150 SHOUP AVE
SUITE 17
IDAHO FALLS, ID
ZIP 83402-657
Phone: (208) 528-5700
Fax: (208) 528-5747

The provider's authorized official is Melissa M Bean .
The authorized official title is Program Manager and has the following contact phone number (208) 528-5706.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 8/22/2020.

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)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000010019479OTHERBLUE SHIELD
2HW181OTHERBLUE CROSS OF IDAHO
30028410MEDICAIDIDAHO

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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