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IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC SALMON NPI 1801922612


NPI Information

NPI: 1801922612
Provider Name: IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC SALMON
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1301 MAIN ST
SALMON, ID
ZIP 83467
Phone: (208) 756-3336
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IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC SALMON is an adolescent and children mental health clinic center in Salmon, 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 REGION 7 CMH CLINIC SALMON NPI is 1801922612. The provider is registered as an organization entity type.

The provider's business location address is:

1301 MAIN ST
SALMON, ID
ZIP 83467-451
Phone: (208) 756-3336
Fax: (208) 756-3805

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 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
18074373MEDICAIDIDAHO
2000010019677OTHERBLUE SHIELD
3HW157OTHERBLUE 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

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.