MOUNTAIN WEST SUPPORTIVE SERVICES (NPI# 1114417029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114417029 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN WEST SUPPORTIVE SERVICES |
| Practice Address |
1970 E 17th St Ste 101 Idaho Falls ID 83404-8046 |
| Practice Telephone | 2087150218 |
| Practice Fax Number | 2087150210 |
| Mailing Telephone | 2087150218 |
| Mailing Fax Number | 2087150210 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Authorized Official Name | KALLE STEPHANIE SMITH (OWNER) |
| Authorized Official Telephone | 2087150218 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1970 E 17TH ST STE 101 |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1629615406 | Building A Life Worth Living, LLC | Clinic/Center | 771 S Woodruff Ave, Idaho Falls, ID 83401-5286 | 2019-11-29 |
| 1053732263 | A To Z Family Services | Clinic/Center | 380 N Capital Ave, Idaho Falls, ID 83402-3633 | 2013-12-16 |
| 1063760452 | Esperanza Mental Health | Clinic/Center | 692 Evans Dr, Idaho Falls, ID 83402-5026 | 2012-08-16 |
| 1508124967 | Starr and Cody Counseling, LLC | Clinic/Center | 1820 E 17th St Ste 230, Idaho Falls, ID 83404-6521 | 2012-04-23 |
| 1861765620 | Lean On Me, Inc. | Clinic/Center | 150 N Woodruff Ave, Idaho Falls, ID 83401-4335 | 2012-02-09 |
| 1235352675 | Access Point Family Services Inc. | Clinic/Center | 2680 Channing Way, Idaho Falls, ID 83404-7517 | 2007-04-11 |
| 1275669152 | Idaho Dept of Health & Welfare Region 7 Amh Psr If | Clinic/Center | 150 Shoup Ave, Suite 17, Idaho Falls, ID 83402-3657 | 2007-02-26 |
| 1477172435 | Answers, LLC - Case Management | Clinic/Center | 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405 | 2020-04-10 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on MOUNTAIN WEST SUPPORTIVE SERVICES.
| 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.