Ambitions

LBN: Ambitions Of Idaho, Inc
Ambitions is an health care organization with primary practice located at 1044 Northwest Blvd Ste C , Coeur D Alene ID 83814-2114. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Ambitions Of Idaho, Inc can be contacted via phone (208) 930-1740, or through Hagel, Shane via phone (208) 930-1740.

Contact Information

Primary practice address
1044 Northwest Blvd Ste C Coeur D Alene ID 83814-2114
Phone: (208) 930-1740
Fax: (208) 930-1695
Website:
Map and Directions
Authorized official contact:
Name: Hagel, Shane
Phone: (208) 930-1740

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1003145533
LBN Legal business name Ambitions Of Idaho, Inc
DBA Doing business as Ambitions
Authorized official Hagel, Shane
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2009
Last updated Oct 12th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003145533 NPPES
Idaho MEDICAID 8079051

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