IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH (NPI# 1710284047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710284047 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH |
| Practice Address |
222 S 7th St St Maries ID 83861-1847 |
| Mailing Address |
Po Box 248 St Maries ID 83861-1847 |
| Practice Telephone | 2082452541 |
| Practice Fax Number | 2082457131 |
| Mailing Telephone | 2082452541 |
| Mailing Fax Number | 2082457131 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |
| Authorized Official Name | VICKI MALONE (PROGRAM MANAGER) |
| Authorized Official Telephone | 2087691406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OF IDAHO | HW256 | 01 |
| ID | BLUE SHIELD | 000010018348 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447557772 | Idaho Dept of Health & Welfare Reg 1 Amh | Clinic/Center | 35 Wildcat Way, Kellogg, ID 83837-2261 | 2011-02-23 |
| Street Address |
222 S 7TH ST |
| City | ST MARIES |
| State | ID |
| Zip Code | 83861-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144357369 | Idaho Dept of Health & Welfare Reg 1 Amh Psr St Maries | Clinic/Center | 222 S 7th St, St Maries, ID 83861-1847 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880789 | Catherine Frances Bean | Private Vehicle | 5753 Alder Creek Rd, St. Maries, ID 83861 | 2017-09-20 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1881752913 | Richard K Thurston | Emergency Medicine | 229 S 7th Street, St Maries, ID 83861 | 2006-12-04 |
| 1851337208 | Robert D Magwire | Optometrist | 704 College, St Maries, ID 83861 | 2006-06-22 |
| 1205810025 | William Walter Wheeler | Surgery | 229 S. 7th Street, St. Maries, ID 83861 | 2005-12-05 |
| 1952469082 | John Richard Katovich Jr. | Emergency Medicine | 229 S 7th Street, St Maries, ID 83861 | 2006-12-04 |
| 1255351458 | William Scott Spence | Family Medicine | 229 S. 7th Street, St. Maries, ID 83861 | 2006-07-20 |
| 1992756233 | Terry L Spohr | Physician Assistant | 229 S. 7th Street, St. Maries, ID 83861 | 2006-05-12 |
| 1699723411 | David James Luther | Family Medicine | 229 S. 7th Street, Saint Maries, ID 83861 | 2006-05-04 |
| 1629627666 | Valerie Kay Sanchez | Technician/Technologist | 305 N 19th St, St Maries, ID 83861-1156 | 2019-09-11 |
| Find all providers in zip 83861 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808019 | Helping Hearts Counseling Center, Pllc | Clinic/Center | 310 Cleveland Blvd, Caldwell, ID 83605-3624 | 2020-10-12 |
| 1811502438 | Dale Wilson Counseling and Evaluation | Clinic/Center | 6126 W State St Ste 101, Boise, ID 83703-2741 | 2020-09-10 |
| 1144843285 | Whole Health Counseling LLC | Clinic/Center | 2616 W Jefferson St, Boise, ID 83702-4713 | 2020-05-23 |
| 1033740865 | Jackie Nelson, Pllc | Clinic/Center | 202 N 9th St Ste 401c, Boise, ID 83702-5770 | 2020-01-30 |
| 1437621646 | Joanne Burgio Phd LLC | Clinic/Center | 3061 S Meridian Rd Ste 150, Meridian, ID 83642-7962 | 2018-12-28 |
| 1700394822 | Lookout Behavioral Health LLC | Clinic/Center | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2018-01-11 |
| 1346759495 | Pacific Mind Institute | Clinic/Center | 2596 N Stokesberry Pl Ste 165, Meridian, ID 83646-6281 | 2017-09-20 |
| 1336599976 | Easy Go Express | Clinic/Center | 3551 W Antelope Rd, Moore, ID 83255-8754 | 2016-06-14 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1447695630 | Susan M. Beglinger, Ltd | Clinic/Center | 206 E Indiana Ave, Suite 112, Coeur D Alene, ID 83814-2969 | 2013-05-01 |
| Find all providers with the same taxonomy | ||||
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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.