Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If
LBN: Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If
Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If is an health care organization with primary practice located at 150 Shoup Ave Suite 17, Idaho Falls ID 83402-3657. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty.
Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If can be contacted via phone (208) 528-5700, or through Bean, Melissa M via phone (208) 528-5706.
Contact Information
Primary practice address
150 Shoup Ave Suite 17
Idaho Falls ID 83402-3657
Phone: (208) 528-5700
Fax: (208) 528-5747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1629104047 |
|---|---|
| LBN Legal business name | Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If |
| DBA Doing business as | |
| Authorized official | Bean, Melissa M Master of Arts (MA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629104047 | NPPES |
| Other | HW157 | BLUE CROSS OF IDAHO | |
| Other | 000010019677 | BLUE CROSS OF IDAHO | |
| MEDICAID | 8073848 | BLUE CROSS OF IDAHO |
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