IDAHO DEPT OF HEALTH & WELFARE R5 AMH PSR BELL (NPI# 1548391253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548391253 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE R5 AMH PSR BELL |
| Practice Address |
621 N Main St Bellevue ID 83313-5093 |
| Practice Telephone | 2087883584 |
| Mailing Telephone | 2087883584 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-09 |
| Authorized Official Name | DUKE MORTON (FIELD SERVICES PROGRAM MANAGER) |
| Authorized Official Telephone | 2087362177 |
| 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 |
|---|---|---|---|
| ID | BLUE CROSS | HW173 | 01 |
| ID | BLUE SHIELD | 000010025421 | 01 |
| ID | 8073510 | 05 |
| Street Address |
621 N MAIN ST |
| City | BELLEVUE |
| State | ID |
| Zip Code | 83313-5093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942332648 | Idaho Dept of Health & Welfare R5 Cmh Psr Bell | Clinic/Center | 621 N Main St, Bellevue, ID 83313-5093 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861946436 | Bellevue of Cascadia, LLC | Skilled Nursing Facility | 620 N. 6th Street, Bellevue, ID 83313 | 2016-08-11 |
| 1487063772 | Christina Van Der Meulen | Acupuncturist | 717 Elm St., Bellevue, ID 83313 | 2014-08-12 |
| 1356600639 | Roger Douglas Mcelmurry | Dentist | 304 S Main St, Bellevue, ID 83313 | 2012-05-08 |
| 1295971273 | Wilbur G Fiscus II | Internal Medicine | 1264 Glen Aspen Drive, Bellevue, ID 83313-0419 | 2008-12-23 |
| 1639240864 | Ginger L. Dattilo | Internal Medicine | 111 Ridgview Dr., Bellevue, ID 83313-0828 | 2006-11-10 |
| 1174177968 | Patricia Frye | Behavior Technician | 280 Melrose St, Bellevue, ID 83313-5152 | 2019-07-30 |
| 1194868406 | Sherry Aanstad | Nurse Practitioner | 117 Ash St, Bellevue, ID 83313-5226 | 2007-02-15 |
| 1346606621 | Snowy River Dental Pllc | Dentist | 304 S Main St, Bellevue, ID 83313-6057 | 2016-01-02 |
| 1083090104 | Two Rivers Family & Cosmetic Dentisty | Dentist | 304 S Main St, Bellevue, ID 83313-6057 | 2015-07-31 |
| 1023650538 | Sarah Mcdermott | Counselor | 733 N Main St Ste C, Bellevue, ID 83313-6068 | 2019-10-16 |
| Find all providers in zip 83313 | ||||
| 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 |
|---|---|---|---|---|
| 1689275323 | Healing Place Counseling, LLC | Clinic/Center | 3802 Raynor Pkwy Ste 203, Bellevue, NE 68123-2528 | 2020-11-07 |
| 1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
| 1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
| 1780155416 | Eastside Women's Counseling | Clinic/Center | 1621 114th Ave Se Ste 224, Bellevue, WA 98004-6905 | 2018-12-06 |
| 1568970259 | Misty A Gasa | Clinic/Center | 7155 S 41st Ter, Bellevue, NE 68147-1056 | 2018-01-16 |
| 1114112687 | Sea-mar Community Health Center | Clinic/Center | 12835 Bel Red Rd, Bldg 100, Ste 145, Bellevue, WA 98005-2631 | 2007-09-07 |
| 1730221870 | Valley Medical Facilities, Inc. | Clinic/Center | 712 Lincoln Avenue, Staunton Clinic- Bellevue, Bellevue, PA 15202-3407 | 2007-02-13 |
| 1881211399 | West Coast Psychiatry | Clinic/Center | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2020-06-30 |
| 1306488226 | Sea - Mar Community Health Center | Clinic/Center | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-10-11 |
| 1720631690 | Boriken Mental Health Services, Pllc | Clinic/Center | 14655 Ne Bel Red Rd Ste 203, Bellevue, WA 98007-3900 | 2019-07-19 |
| Find all providers in BELLEVUE | ||||
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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.