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ALL DEVELOPMENTAL DISABILITY SERVICES NPI 1396907861


NPI Information

NPI: 1396907861
Provider Name: ALL DEVELOPMENTAL DISABILITY SERVICES
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1350 S VISTA AVE
BOISE, ID
ZIP 83705
Phone: (208) 424-3160
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ALL DEVELOPMENTAL DISABILITY SERVICES is a developmental disabilities clinic center in Boise, ID. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). ALL DEVELOPMENTAL DISABILITY SERVICES NPI is 1396907861. The provider is registered as an organization entity type.

The provider's business location address is:

1350 S VISTA AVE
BOISE, ID
ZIP 83705-567
Phone: (208) 424-3160
Fax: (208) 433-9794

The provider's authorized official is Michelle A Mitton .
The authorized official title is Program Administrator and has the following contact phone number (208) 465-5114.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 6/18/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1808077801MEDICAIDIDAHO
2808065600MEDICAIDIDAHO
3808077800MEDICAIDIDAHO
4808063101MEDICAIDIDAHO
5808065601MEDICAIDIDAHO
6808317200MEDICAIDIDAHO
7808063100MEDICAIDIDAHO

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: 4/28/2024

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