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IDAHO DEPT OF HEALTH &WELFARE REG 6 CMH PSR P NPI 1497887871


NPI Information

NPI: 1497887871
Provider Name: IDAHO DEPT OF HEALTH &WELFARE REG 6 CMH PSR P
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
421 MEMORIAL DR
POCATELLO, ID
ZIP 83201
Phone: (208) 234-7900
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IDAHO DEPT OF HEALTH &WELFARE REG 6 CMH PSR P is a rehabilitation clinic center in Pocatello, ID. IDAHO DEPT OF HEALTH &WELFARE REG 6 CMH PSR P NPI is 1497887871. The provider is registered as an organization entity type.

The provider's business location address is:

421 MEMORIAL DR
POCATELLO, ID
ZIP 83201-008
Phone: (208) 234-7900
Fax: (208) 236-6328

The provider's authorized official is Ritchie Weers .
The authorized official title is Clinical Supervisor and has the following contact phone number (208) 234-7900.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 10/22/2010.


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
1261QR0400XClinic/CenterRehabilitationYes

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
1000010019402OTHERIDAHOBLUE SHIELD
2HW157OTHERIDAHOBLUE CROSS OF IDAHO
30028412MEDICAIDIDAHO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.