IDAHO DEPT OF HEALTH & WELFARE AMH CLINIC MCCALL NPI 1821128794

NPI Information

NPI: 1821128794
Provider Name: IDAHO DEPT OF HEALTH & WELFARE AMH CLINIC MCCALL
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
299 S 3RD ST
MCCALL, ID
ZIP 83638
Phone: (208) 634-2228
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IDAHO DEPT OF HEALTH & WELFARE AMH CLINIC MCCALL is an adult mental health clinic center in Mccall, 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 adults. IDAHO DEPT OF HEALTH & WELFARE AMH CLINIC MCCALL NPI is 1821128794. The provider is registered as an organization entity type.

The provider's business location address is:

299 S 3RD ST
MCCALL, ID
ZIP 83638-020
Phone: (208) 634-2228
Fax: (208) 634-3510

The provider's authorized official is Gina Westcott .
The authorized official title is Program Manager and has the following contact phone number (208) 334-0969.

The enumeration date for this NPI number is 3/7/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult 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	8073420	MEDICAID	IDAHO
2	HW280	OTHER		BLUE CROSS OF IDAHO
3	000010018973	OTHER		BLUE 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: 4/28/2024

NPI Synchronization or Removal

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