IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEW. CLINIC (NPI# 1811025406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811025406 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEW. CLINIC |
| 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 | 2007-03-02 |
| 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 | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD | 000010018440 | 01 | |
| ID | 0028329 | 05 | |
| BLUE CROSS OF IDAHO | HW264 | 01 |
| Street Address |
1118 F ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073641262 | Idaho Dept of Health & Welfare Reg II Amh Lewiston | Clinic/Center | 1118 F St, Lewiston, ID 83501-1930 | 2007-03-01 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1700124732 | Central Maine Psychotherapy, Pa | Clinic/Center | 460 Main St, Lewiston, ME 04240-6755 | 2013-01-25 |
| 1689921629 | Tri-county Mental Health Services | Clinic/Center | 230 Bartlett St, Lewiston, ME 04240-6578 | 2012-08-09 |
| 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.