IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH PSR REXBURG (NPI# 1508992926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508992926 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH PSR REXBURG |
| Practice Address |
333 Walker Dr Rexburg ID 83440-1657 |
| Practice Telephone | 2083594751 |
| Practice Fax Number | 2083595461 |
| Mailing Telephone | 2083594751 |
| Mailing Fax Number | 2083595461 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MELISSA M BEAN (PROGRAM MANGER) |
| Authorized Official Telephone | 2085285706 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD | 000010019677 | 01 | |
| BLUE CROSS OF IDAHO | HW157 | 01 | |
| ID | 8073802 | 05 |
| Street Address |
333 WALKER DR |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316073190 | Idaho Dept of Health & Welfare Region 7 Amh Psr Rexburg | Clinic/Center | 333 Walker Dr, Rexburg, ID 83440-1657 | 2007-02-26 |
| 1245694298 | Kimberly Clark | Social Worker | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-04-06 |
| 1306209101 | Linda I Price | Social Worker | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-30 |
| 1235591298 | Judy Nelson | Social Worker | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-28 |
| 1831551894 | Melissa Clinger | Social Worker | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-28 |
| 1639539786 | Sadie N. Evans | Specialist | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-02 |
| 1447386867 | Idaho Dept of Health & Welfare Region 7 Cmh Clinic Rexburg | Clinic/Center | 333 Walker Dr, Rexburg, ID 83440-1657 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043657828 | Bodybalance Pt Twin Falls LLC | Clinic/Center | 657 Blue Lakes Blvd N, Twin Falls, ID 83301-4036 | 2013-06-03 |
| 1669503066 | Idaho Dept of Health & Welfare R5 Cmh Psr Jer | Clinic/Center | 126 N Adams St, Jerome, ID 83338-2331 | 2007-03-08 |
| 1396876850 | Idaho Dept. of Health & Welfare | Clinic/Center | 803 Harrison St., Twin Falls, ID 83301-3925 | 2007-03-08 |
| 1720116551 | Idaho Dept of Health & Welfare Reg II Cmh Moscow | Clinic/Center | 1350 Troy Hwy, Moscow, ID 83543-3995 | 2007-03-01 |
| 1164550455 | Idaho Dept of Health & Welfare Reg 1 Cmh Psr Cda | Clinic/Center | 1250 Ironwood Dr Ste 100, Coeur D Alene, ID 83814-2628 | 2007-03-01 |
| 1023487105 | Journey Pediatric Therapy | Clinic/Center | 506 Alder St Fl 2, Sandpoint, ID 83864-1567 | 2015-09-18 |
| 1851787980 | Fit Technologies Pllc | Clinic/Center | 3544 E 17th St, Suite 201, Ammon, ID 83406-6911 | 2015-04-15 |
| 1053729434 | Celebration Speech Inc | Clinic/Center | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-07-29 |
| 1689082182 | Generations Occupational Therapy | Clinic/Center | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-07-28 |
| 1942616073 | St Luke's Elks Childrens Rehabilitation | Clinic/Center | 3525 E Louise Dr, Suite 255, Meridian, ID 83642-6302 | 2014-07-09 |
| Find all providers with the same taxonomy | ||||
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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.