IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEWISTON


Address: 1118 F St, Lewiston, ID 83501-1930
Phone: 2087994440

IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEWISTON (NPI# 1073641262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073641262
Entity Type Organization
Organization Name IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEWISTON
Practice Address 1118 F St
Lewiston
ID 83501-1930
Mailing Address 1118 F St
Drawer B
Lewiston
ID 83501-1930
Practice Telephone 2087994440
Practice Fax Number 2087995171
Mailing Telephone 2087994440
Mailing Fax Number 2087995171
Enumeration Date 2007-03-01
Last Update Date 2020-08-22
Authorized Official Name VICKI R. MALONE (PROGRAM MANAGER)
Authorized Official Telephone 2087994440
Authorized Official Credential MSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS OF IDAHO HW264 01
ID 0028419 05
BLUE SHIELD 000010018440 01

Office Location

Street Address 1118 F ST
City LEWISTON
State ID
Zip Code 83501-1930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417417635 Cort Eckert Registered Nurse 1118 F St, Lewiston, ID 83501-1930 2019-03-22
1518436906 Cindy Renee Hulett Counselor 1118 F St, Lewiston, ID 83501-1930 2018-11-15
1932678315 Maggie Rosalie Bolon Social Worker 1118 F St, Lewiston, ID 83501-1930 2018-11-15
1679049126 Jeb Michael Simpson Licensed Practical Nurse 1118 F St, Lewiston, ID 83501-1930 2018-10-22
1851892376 Ruth Lauren Ross Counselor 1118 F St, Lewiston, ID 83501-1930 2018-02-21
1841701364 Cindy Renea Harris-lindauer Social Worker 1118 F St, Lewiston, ID 83501-1930 2017-10-24
1205361136 Denise Liedkie Registered Nurse 1118 F St, Lewiston, ID 83501-1930 2017-04-28
1467901355 Amy Lee Guzman Social Worker 1118 F St, Lewiston, ID 83501-1930 2016-10-03
1477907095 Lacie Dietrich Registered Nurse 1118 F St, Lewiston, ID 83501-1930 2016-04-20
1659734143 Angie A. Shantie Social Worker 1118 F St, Lewiston, ID 83501-1930 2016-04-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
Find all providers in zip 83501

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659939536 Life Changes Mental Health Services Pllc Clinic/Center 816 Main Street, Lewiston, ID 83501-1870 2019-06-05
1982268553 Bohnenkamp Behavioral Health LLC Clinic/Center 523 1/2 Main St # 7, Lewiston, ID 83501-1870 2019-04-29
1396263869 Wellness Center Clinic/Center 37 Park Street, Suite 305, Lewiston, ME 04240 2017-09-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598364978 Brave Ahead Counseling Clinic/Center 991 Sunset Rd, Athol, ID 83801-9287 2020-10-18
1356959191 Healing Minds LLC Clinic/Center 6586 W Flagstaff St, Rathdrum, ID 83858-8203 2020-07-17
1487273637 Answers, LLC - Cbrs Clinic/Center 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405 2020-04-08
1649808767 Psychological Preventative Health Pllc Clinic/Center 4831 Greystone Ln, Idaho Falls, ID 83404-8338 2020-04-01
1073148623 Begin Within Counseling, LLC Clinic/Center 943 W Overland Rd Ste 111, Meridian, ID 83642-6541 2020-03-04
1871126797 Avanzar Wellness LLC Clinic/Center 11513 W Fairview Ave Ste 105, Boise, ID 83713-7887 2020-02-19
1174155741 Noble Intent Clinic/Center 1406 N Main St Ste 204, Meridian, ID 83642-1746 2020-02-11
1194362517 Advanced Counseling LLC Clinic/Center 39 W Pine Ave, Meridian, ID 83642-2281 2019-12-04
1629615406 Building A Life Worth Living, LLC Clinic/Center 771 S Woodruff Ave, Idaho Falls, ID 83401-5286 2019-11-29
1750927281 Weme Counseling and Clinical Consultation Clinic/Center 231 N Third Ave Ste 207, Sandpoint, ID 83864-1418 2019-11-19
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Competitor

Search similar providers

City LEWISTON
Zip Code 83501

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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