INNOVATIVE HEALTH CARE CONCEPTS, INC (NPI# 1427108323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427108323 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE HEALTH CARE CONCEPTS, INC |
| Practice Address |
111 E 16th St Idaho Falls Idaho Falls ID 83404-5919 |
| Mailing Address |
790 S Holmes Ave Idaho Falls ID 83401-4749 |
| Practice Telephone | 2085231130 |
| Practice Fax Number | 2085296501 |
| Mailing Telephone | 2085298526 |
| Mailing Fax Number | 2085298597 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | LONNA J. SMITH (ADMINISTRATOR) |
| Authorized Official Telephone | 2085298526 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002741600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 E 16th St, Idaho Falls, ID 834045919 | 2085236727 | 2085236729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548471196 | Innovative Health Care Concepts, Inc | Clinic/Center | 267 Gladstone St, Idaho Falls, ID 83401-2511 | 2007-05-25 |
| 1508077157 | Innovative Health Care Concepts, Inc | Case Manager/Care Coordinator | 790 S Holmes Ave, Idaho Falls, ID 83401-4749 | 2007-05-25 |
| 1598975658 | Innovative Health Care Concepts, Inc | Clinic/Center | 1545 S Boulevard, Idaho Falls, ID 83404-5926 | 2007-05-23 |
| 1639380280 | Innovative Health Care Concepts, Inc | Clinic/Center | 115 E 16th St, Idaho Falls, ID 83404-5919 | 2007-05-25 |
| 1457562001 | Innovative Health Care Concepts, Inc | Clinic/Center | 115 E 16th St, Idaho Falls, ID 83404-5919 | 2007-05-25 |
| 1366653917 | Innovative Health Care Concepts, Inc | Clinic/Center | 1545 S Boulevard, Idaho Falls, ID 83404-5926 | 2007-05-25 |
| 1891906442 | Innovative Health Care Concepts, Inc | Specialist | 790 S Holmes Ave, Idaho Falls, ID 83401-4749 | 2007-05-25 |
| 1447461090 | Innovative Health Care Concepts, Inc | Case Management | 790 S Holmes Ave, Idaho Falls, ID 83401-4749 | 2007-05-25 |
| 1356552905 | Innovative Health Care Concepts, Inc | Case Management | 790 S Holmes Ave, Idaho Falls, ID 83401-4749 | 2007-05-25 |
| Street Address |
111 E 16TH ST IDAHO FALLS |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588682652 | Lavonna D Patterson | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2006-07-17 |
| 1558913954 | Elizabeth Ione Swedin | Counselor | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2019-07-15 |
| 1396293064 | Amber Stempien | Counselor | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2016-09-12 |
| 1790144657 | Brandon Derrick Borchman | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2016-02-19 |
| 1205214475 | Innovative Health Care Concepts, Inc. | Community/Behavioral Health | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2015-05-08 |
| 1871929026 | E. Wade Smith | Counselor | 111 E 16th St, Idaho Falls, ID 83401 | 2013-09-19 |
| 1568898013 | Jerrilynne Wood | Counselor | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2013-09-16 |
| 1912332719 | Richard Thomas Baker | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2013-09-11 |
| 1659649945 | Holly A Reed | Social Worker | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2011-12-01 |
| 1346574464 | Tanner Mitchell Nielsen | Psychologist | 111 E 16th St, Idaho Falls, ID 83404-5919 | 2009-09-22 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1053545848 | Ihc Health Services Inc | Clinic/Center | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2009-05-07 |
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| 1750681607 | Family Services, Pllc | Clinic/Center | 501 N 16th St Ste 108, Payette, ID 83661-2782 | 2010-10-26 |
| 1043545106 | Ashwood Recovery LLC. | Clinic/Center | 7941 W Rifleman St, Boise, ID 83704-9001 | 2009-10-07 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| 1659371870 | Saint Alphonsus Medical Center Nampa, Inc. | Clinic/Center | 4300 E Flamingo Ave, Nampa, ID 83687-3138 | 2005-07-29 |
| 1881200517 | Vannvei LLC | Clinic/Center | 1522 17th St, Lewiston, ID 83501-3652 | 2020-09-18 |
| 1831716182 | Regenesis Health Centre Inc. | Clinic/Center | 430 W Iowa Ave Ste A, Nampa, ID 83686-2826 | 2020-07-02 |
| 1568005809 | Pure Healthcare of Idaho LLC | Clinic/Center | 6560 W Emerald St Ste 122, Boise, ID 83704-8781 | 2019-10-18 |
| 1699316190 | Boise Plastic Surgery Boise Hand Center Pllc | Clinic/Center | 1070 N Curtis Rd Ste 135, Boise, ID 83706-1257 | 2019-10-05 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on INNOVATIVE HEALTH CARE CONCEPTS, INC.
| 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.