IDAHO DEPT OF HEALTH & WELFARE NPI 1689984254

NPI Information

NPI: 1689984254
Provider Name: IDAHO DEPT OF HEALTH & WELFARE
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
515 16TH AVE N
PAYETTE, ID
ZIP 83661
Phone: (208) 642-6412
Get Directions

IDAHO DEPT OF HEALTH & WELFARE is an adolescent and children mental health clinic center in Payette, 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 NPI is 1689984254. The provider is registered as an organization entity type.

The provider's business location address is:

515 16TH AVE N
PAYETTE, ID
ZIP 83661-047
Phone: (208) 642-6412
Fax: (208) 642-2829

The provider's authorized official is Todd Hurt .
The authorized official title is Program Manager and has the following contact phone number (208) 455-7057.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 10/18/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			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	000010018824	OTHER	IDAHO	BLUESHIELD
2	HW348	OTHER	IDAHO	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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