THE WALKER CENTER FOR ALCOHOLISM & DRUG ABUSE, INC. (NPI# 1861500035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861500035 |
Entity Type | Organization |
Organization Name | THE WALKER CENTER FOR ALCOHOLISM & DRUG ABUSE, INC. |
Other Organization Name | THE WALKER CENTER |
Practice Address |
605 11th Ave E Gooding ID 83330-5368 |
Practice Telephone | 2089348461 |
Practice Fax Number | 2089345437 |
Mailing Telephone | 2089348461 |
Mailing Fax Number | 2089345437 |
Enumeration Date | 2006-08-28 |
Last Update Date | 2015-12-30 |
Authorized Official Name | DEBORAH THOMAS (CEO) |
Authorized Official Telephone | 2089348461 |
Authorized Official Credential | M.ED., LPC, CADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | ID | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 807365800 | 05 |
Other Name | Type Code |
---|---|
The Walker Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386965895 | The Walker Center for Alcoholism & Drug Abuse, Inc. | Substance Abuse Rehabilitation Facility | 605 11th Ave E, Gooding, ID 83330-5368 | 2010-06-18 |
Street Address |
605 11TH AVE E |
City | GOODING |
State | ID |
Zip Code | 83330-5368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033754551 | Taylor Anne Van Holland | Counselor | 605 11th Ave E, Gooding, ID 83330-5368 | 2019-11-07 |
1558818906 | Jennifer K Ford | Counselor | 605 11th Ave E, Gooding, ID 83330-5368 | 2016-09-01 |
1467813196 | John Mason | Counselor | 605 11th Ave E, Gooding, ID 83330-5368 | 2016-03-08 |
1902286099 | Justin Hiroshi Hirasaki | Counselor | 605 11th Ave E, Gooding, ID 83330-5368 | 2015-06-03 |
1710374301 | The Walker Center | Substance Abuse Rehabilitation Facility | 605 11th Ave E, Gooding, ID 83330-5368 | 2015-04-21 |
1235533217 | Shawnee B Legarreta | Substance Abuse Rehabilitation Facility | 605 11th Ave E, Gooding, ID 83330-5368 | 2014-10-20 |
1265848717 | Kevin Lee Pettus | Counselor | 605 11th Ave E, Gooding, ID 83330-5368 | 2014-07-05 |
1568807808 | Danny O'dell | Counselor | 605 11th Ave E, Gooding, ID 83330-5368 | 2013-04-30 |
1225384514 | Doyle Drury | Counselor | 605 11th Ave E, Gooding, ID 83330-5368 | 2012-07-24 |
1427338714 | Wayne Kauppila | Counselor | 605 11th Ave E, Gooding, ID 83330-5368 | 2011-08-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346648227 | Erin Orloff | Speech-Language Pathologist | 202 14th St Ave E, Gooding, ID 83330 | 2014-12-09 |
1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
1083959332 | Lydia Jo Missal | Counselor | 1832 E. 1750 S., Gooding, ID 83330 | 2012-11-27 |
1013240910 | Marcella Louise Heil | Speech-Language Pathologist | 1735 South 1800 East, Gooding, ID 83330 | 2009-09-09 |
1861561094 | Thomas Ernest Pryor | Family Medicine | 121 5th Ave West, Gooding, ID 83330 | 2006-11-06 |
1942212600 | Marcy Lin Morrow | Physician Assistant | 134 4th Ave W, Gooding Family Physicians, Gooding, ID 83330 | 2006-08-12 |
1174535835 | Ian B Kunz | Physician Assistant | 267 N Canyon Drive, Gooding, ID 83330 | 2006-08-12 |
1326002650 | Associates In Family Practice Pa | Family Medicine | 425 Idaho St, Gooding, ID 83330 | 2006-04-13 |
1497719728 | Mark D Spencer | Family Medicine | 425 Idaho Street, Gooding, ID 83330 | 2006-04-13 |
1871115717 | Megan George | Counselor | 1832 E 1750 S, Gooding, ID 83330 | 2020-05-14 |
Find all providers in zip 83330 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710374301 | The Walker Center | Substance Abuse Rehabilitation Facility | 605 11th Ave E, Gooding, ID 83330-5368 | 2015-04-21 |
1235533217 | Shawnee B Legarreta | Substance Abuse Rehabilitation Facility | 605 11th Ave E, Gooding, ID 83330-5368 | 2014-10-20 |
1386965895 | The Walker Center for Alcoholism & Drug Abuse, Inc. | Substance Abuse Rehabilitation Facility | 605 11th Ave E, Gooding, ID 83330-5368 | 2010-06-18 |
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1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
1861983413 | Moonlight Mountain Recovery, Inc | Substance Abuse Rehabilitation Facility | 5230 W Moonlight Mine Rd, Pocatello, ID 83201-9013 | 2018-05-18 |
1437685799 | Road To Recovery, Inc. | Substance Abuse Rehabilitation Facility | 165 W. Main, Lava Hot Springs, ID 83246 | 2017-05-05 |
1033573993 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 178 West Main Street, Lava Hot Springs, ID 83246 | 2016-04-07 |
1992179253 | North Idaho Ranch Recovery Clinic | Substance Abuse Rehabilitation Facility | 4570 S Stach Rd, Coeur D Alene, ID 83814-7955 | 2015-11-23 |
1154709087 | Northpoint Recovery LLC | Substance Abuse Rehabilitation Facility | 10787 Ustick Rd, Boise, ID 83713-5104 | 2015-05-12 |
1346633849 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 165 West Main St, Lava Hot Springs, ID 83246 | 2015-03-09 |
1518357649 | Sage Recovery LLC | Substance Abuse Rehabilitation Facility | 2995 N Cole Rd Ste 255, Boise, ID 83704-5976 | 2015-01-27 |
1083977656 | Higher Ground Retreat, LLC | Substance Abuse Rehabilitation Facility | 17626 Deer Flat Rd, Caldwell, ID 83607-9779 | 2012-06-19 |
1902175979 | Rainbow's End Recovery Center LLC | Substance Abuse Rehabilitation Facility | 25341 N. Highway 93, Challis, ID 83226 | 2011-12-21 |
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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.