IDAHODHWBH3 CALD AMH PSR


Address: 3402 Franklin Rd, Caldwell, ID 83605-6932
Phone: 2084590092

IDAHODHWBH3 CALD AMH PSR (NPI# 1023146529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023146529
Entity Type Organization
Organization Name IDAHODHWBH3 CALD AMH PSR
Practice Address 3402 Franklin Rd
Caldwell
ID 83605-6932
Practice Telephone 2084590092
Practice Fax Number 2084547714
Mailing Telephone 2084590092
Mailing Fax Number 2084547714
Enumeration Date 2007-02-28
Last Update Date 2020-08-22
Authorized Official Name MR. TODD L HURT (FIELD OPERATIOINS MANAGER)
Authorized Official Telephone 2084557057
Authorized Official Credential M.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ID BLUESHIELD 000010027633 01
ID 0028417 05
ID BLUE CROSS OF IDAHO HW298 01

Office Location

Street Address 3402 FRANKLIN RD
City CALDWELL
State ID
Zip Code 83605-6932

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477162907 Leticia Soto Social Worker 3402 Franklin Rd, Caldwell, ID 83605-6932 2020-07-30
1376199844 Nelida Carrillo Social Worker 3402 Franklin Rd, Caldwell, ID 83605-6932 2019-08-12
1942861265 Amie J Fries Registered Nurse 3402 Franklin Rd, Caldwell, ID 83605-6932 2019-06-26
1861053530 Courtney D Johnson Social Worker 3402 Franklin Rd, Caldwell, ID 83605-6932 2019-06-24
1356815146 Michelle J Valdez Social Worker 3402 Franklin Rd, Caldwell, ID 83605-6932 2019-01-15
1700355054 Tara V Dennis Social Worker 3402 Franklin Rd, Caldwell, ID 83605-6932 2018-11-15
1811415144 Susan M Cooper Social Worker 3402 Franklin Rd, Caldwell, ID 83605-6932 2017-09-07
1457802050 Molly Perotti Social Worker 3402 Franklin Rd, Caldwell, ID 83605-6932 2016-10-18
1326598673 Dustin Rogers Behavior Technician 3402 Franklin Rd, Caldwell, ID 83605-6932 2016-10-11
1104372267 Miguel Arambul Case Manager/Care Coordinator 3402 Franklin Rd, Caldwell, ID 83605-6932 2016-08-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585660 Laurie Bernstein Occupational Therapist 2205 Sunset Avenue, Caldwell, ID 83605 2020-07-06
1881249316 Elevate Academy Local Education Agency (LEA) 114 W. Chicago St., Caldwell, ID 83605 2019-08-01
1669025359 James Smith Pharmacist 2809 E Caldwell Blvd, Caldwell, ID 83605 2019-07-22
1164910824 Michelle Stoddard Physician Assistant 315 E Elm St Ste 200, Caldwell, ID 83605 2018-04-27
1215430483 Amy E Rudolf Pharmacist 315 E Elm St Ste 150, Caldwell, ID 83605 2018-03-14
1871044883 Kool Ridez LLC Case Management 1803 Ellis Ave., Caldwell, ID 83605 2016-10-14
1932550795 Chris Torgerson Social Worker 3402 Franklin Blvd, Caldwell, ID 83605 2016-06-23
1609237742 Peggy A Mcfarland Counselor 534 Cleveland Suite 230, Caldwell, ID 83605 2016-03-17
1720468101 Devin Douglas Dredge Emergency Medicine 1717 Arlington Ave Dept Of, Caldwell, ID 83605 2015-06-01
1578950168 Trinidad Bridge Licensed Practical Nurse 2909 S. 10th Avenue, Caldwell, ID 83605 2015-04-21
Find all providers in zip 83605

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386285948 Ten Broeck Tennessee Physicians Clinic/Center 11110 Woodson Drive, Caldwell, TX 77836-1053 2019-10-04
1891303392 Jennifer Ra LLC Clinic/Center 307 Bloomfield Ave Ste 301, Caldwell, NJ 07006-5105 2020-07-21
1083126023 Totius Therapies Inc Clinic/Center 211 E Logan St Ste B3, Caldwell, ID 83605-4883 2017-10-31
1194845768 Insight Consulting, Inc. Clinic/Center 2922 Cleveland Blvd, Suite 500, Caldwell, ID 83605-4436 2007-03-29
1881637122 West Valley Medical Center Inc Clinic/Center 1717 Arlington Ave, Caldwell, ID 83605 2006-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598364978 Brave Ahead Counseling Clinic/Center 991 Sunset Rd, Athol, ID 83801-9287 2020-10-18
1356959191 Healing Minds LLC Clinic/Center 6586 W Flagstaff St, Rathdrum, ID 83858-8203 2020-07-17
1487273637 Answers, LLC - Cbrs Clinic/Center 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405 2020-04-08
1649808767 Psychological Preventative Health Pllc Clinic/Center 4831 Greystone Ln, Idaho Falls, ID 83404-8338 2020-04-01
1073148623 Begin Within Counseling, LLC Clinic/Center 943 W Overland Rd Ste 111, Meridian, ID 83642-6541 2020-03-04
1871126797 Avanzar Wellness LLC Clinic/Center 11513 W Fairview Ave Ste 105, Boise, ID 83713-7887 2020-02-19
1174155741 Noble Intent Clinic/Center 1406 N Main St Ste 204, Meridian, ID 83642-1746 2020-02-11
1194362517 Advanced Counseling LLC Clinic/Center 39 W Pine Ave, Meridian, ID 83642-2281 2019-12-04
1629615406 Building A Life Worth Living, LLC Clinic/Center 771 S Woodruff Ave, Idaho Falls, ID 83401-5286 2019-11-29
1750927281 Weme Counseling and Clinical Consultation Clinic/Center 231 N Third Ave Ste 207, Sandpoint, ID 83864-1418 2019-11-19
Find all providers with the same taxonomy

Competitor

Search similar providers

City CALDWELL
Zip Code 83605

Improve Information

Please comment or provide details below to improve the information on IDAHODHWBH3 CALD AMH PSR.

Dataset Information

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.

Trending Searches