IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR REXBURG NPI 1316073190

NPI Information

NPI: 1316073190
Provider Name: IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR REXBURG
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
333 WALKER DR
REXBURG, ID
ZIP 83440
Phone: (208) 359-4751
Get Directions

IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR REXBURG is a mental health (including community mental health center) clinic center in Rexburg, ID. IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR REXBURG NPI is 1316073190. The provider is registered as an organization entity type.

The provider's business location address is:

333 WALKER DR
REXBURG, ID
ZIP 83440-657
Phone: (208) 359-4751
Fax: (208) 356-5461

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
1	261QM0801X	Clinic/Center	Mental 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
1	8073446	MEDICAID	IDAHO
2	000010019479	OTHER		BLUE SHIELD
3	HW181	OTHER		BLUE CROSS OF IDAHO

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: 11/14/2023

NPI Synchronization or Removal

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