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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS OF IDAHO | HW264 | 01 | |
ID | 0028419 | 05 | |
BLUE SHIELD | 000010018440 | 01 |
Street Address |
1118 F ST |
City | LEWISTON |
State | ID |
Zip Code | 83501-1930 |
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 |
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 Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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 |
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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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.