IDAHO DEPT OF HEALTH & WELFARE REG 7 CMH P C (NPI# 1639201593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639201593 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE REG 7 CMH P C |
| Practice Address |
720 E Alice Blackfoot ID 83221-0129 |
| Mailing Address |
720 E Alice Po Box 129 Blackfoot ID 83221-0129 |
| Practice Telephone | 2087855871 |
| Practice Fax Number | 2087855877 |
| Mailing Telephone | 2087855871 |
| Mailing Fax Number | 2087855877 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2010-08-10 |
| Authorized Official Name | RANDY RODRIQUEZ (PROGRAM MANAGER) |
| Authorized Official Telephone | 2085285700 |
| Authorized Official Credential | LCSW |
| 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 |
|---|---|---|---|
| ID | BLUE CROSS | HW157 | 01 |
| ID | 8073649 | 05 | |
| ID | BLUE SHIELD | 000010019677 | 01 |
| Street Address |
720 E ALICE |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-0129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114058179 | Idaho Dept of Health & Welfare Reg 7 Amh Bf | Clinic/Center | 720 E Alice, Blackfoot, ID 83221-0129 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on IDAHO DEPT OF HEALTH & WELFARE REG 7 CMH P C.
| 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.