Provider Type Icon

IDAHO DEPT OF HEALTH & WELFARE REG 2 CMH NPI 1639476294


NPI Information

NPI: 1639476294
Provider Name: IDAHO DEPT OF HEALTH & WELFARE REG 2 CMH
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1350 TROY HIGHWAY
MOSCOW, ID
ZIP 83843
Phone: (208) 882-0562
Get Directions

IDAHO DEPT OF HEALTH & WELFARE REG 2 CMH is an adolescent and children mental health clinic center in Moscow, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. IDAHO DEPT OF HEALTH & WELFARE REG 2 CMH NPI is 1639476294. The provider is registered as an organization entity type.

The provider's business location address is:

1350 TROY HIGHWAY
MOSCOW, ID
ZIP 83843-995
Phone: (208) 882-0562

The provider's authorized official is Vicki Malone .
The authorized official title is Program Manager and has the following contact phone number (208) 799-4440.

The enumeration date for this NPI number is 2/17/2011 and was last updated on 2/17/2011.


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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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
1HW140OTHERIDAHOBLUE CROSS
2000010018450OTHERIDAHOBLUE SHIELD

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.