HIGH COUNTRY BEHAVIORAL HEALTH (NPI# 1295379865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295379865 |
Entity Type | Organization |
Organization Name | HIGH COUNTRY BEHAVIORAL HEALTH |
Practice Address |
2420 E 25th St Idaho Falls ID 83404-7549 |
Mailing Address |
Po Box 376 Afton WY 83110-0376 |
Practice Telephone | 2085421026 |
Enumeration Date | 2019-11-06 |
Last Update Date | 2019-11-06 |
Authorized Official Name | KIPP DANA (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3078859883 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
1420 N Highway 33 Ste 201, Driggs, ID 834225316 | 2083107958 | |
159 N Idaho St Ste 105, Arco, ID 832137705 | 2085421026 | |
1777 E Clark St, Pocatello, ID 832013357 | 2084789081 | |
36 Professional Plz Ste 220, Rexburg, ID 834402019 | 2088213554 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518346709 | High Country Behavioral Health | Clinic/Center | 1050 North Highway 414, Mountain View, WY 82939-0458 | 2015-05-21 |
1770859548 | High Country Behavioral Health | Clinic/Center | 100 Yellowstone River Dr, Evanston, WY 82930-5371 | 2012-03-27 |
1255604856 | High Country Behavioral Health | Clinic/Center | 830 Highway 150 S, Evanston, WY 82930-5341 | 2012-02-14 |
1942571807 | High Country Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 34 Powder River Court, Evanston, WY 82930-5371 | 2012-01-24 |
1174805402 | High Country Behavioral Health | Clinic/Center | 190 Overthrust Rd., Evanston, WY 82931-2910 | 2011-09-13 |
1891099545 | High Country Behavioral Health | Clinic/Center | 75 Yellow Creek Rd., Ste 105, Evanston, WY 82930-5205 | 2011-01-10 |
1508058173 | High Country Behavioral Health | Clinic/Center | 24 Country Club Lane, Pinedale, WY 82941-0856 | 2007-08-16 |
1972624062 | High Country Behavioral Health | Clinic/Center | 821 Sage Ave, Kemmerer, WY 83101-3127 | 2007-04-03 |
1457472748 | High Country Behavioral Health | Clinic/Center | 389 Adams St., Afton, WY 83110-0376 | 2007-04-03 |
1730450867 | High Country Behavioral Health | Clinic/Center | 21 7th St, Mountain View, WY 82939 | 2012-01-20 |
Street Address |
2420 E 25TH ST |
City | IDAHO FALLS |
State | ID |
Zip Code | 83404-7549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871632786 | Mental Wellness Centers, Inc | Community/Behavioral Health | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2007-02-06 |
1467017889 | Tamra Dee White | Social Worker | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2019-05-01 |
1245796101 | Brian Brimhall | Nurse Practitioner | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2019-02-15 |
1992276315 | Anne Marie Brasher | Counselor | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2018-12-11 |
1932692639 | Sherrie Beth Crawford | Social Worker | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2018-06-08 |
1275032815 | Susan Kaye Nielsen | Social Worker | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2018-02-09 |
1083133342 | Kaitlyn Elizabeth Green | Counselor | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2017-09-18 |
1710431242 | Daniel Mcisaac | Counselor | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2016-08-12 |
1245603901 | Pam Brown | Counselor | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2015-11-03 |
1457722530 | Barbara Hodges | Social Worker | 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2015-10-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
Find all providers in zip 83404 |
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 |
---|---|---|---|---|
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 |
1629615406 | Building A Life Worth Living, LLC | Clinic/Center | 771 S Woodruff Ave, Idaho Falls, ID 83401-5286 | 2019-11-29 |
1053732263 | A To Z Family Services | Clinic/Center | 380 N Capital Ave, Idaho Falls, ID 83402-3633 | 2013-12-16 |
1063760452 | Esperanza Mental Health | Clinic/Center | 692 Evans Dr, Idaho Falls, ID 83402-5026 | 2012-08-16 |
1508124967 | Starr and Cody Counseling, LLC | Clinic/Center | 1820 E 17th St Ste 230, Idaho Falls, ID 83404-6521 | 2012-04-23 |
1861765620 | Lean On Me, Inc. | Clinic/Center | 150 N Woodruff Ave, Idaho Falls, ID 83401-4335 | 2012-02-09 |
1235352675 | Access Point Family Services Inc. | Clinic/Center | 2680 Channing Way, Idaho Falls, ID 83404-7517 | 2007-04-11 |
1275669152 | Idaho Dept of Health & Welfare Region 7 Amh Psr If | Clinic/Center | 150 Shoup Ave, Suite 17, Idaho Falls, ID 83402-3657 | 2007-02-26 |
1477172435 | Answers, LLC - Case Management | Clinic/Center | 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405 | 2020-04-10 |
Find all providers in IDAHO FALLS |
City | IDAHO FALLS |
Zip Code | 83404 |
Please comment or provide details below to improve the information on HIGH COUNTRY BEHAVIORAL HEALTH.
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.