IDAHO DEPT OF HEALTH & WELFARE R5 AMH CL (NPI# 1720119225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720119225 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE R5 AMH CL |
| Practice Address |
823 Harrison St Twin Falls ID 83301-3925 |
| Practice Telephone | 2087362177 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DUKE MORTON (FIELD SERVICES PROGRAM MANAGER) |
| Authorized Official Telephone | 2087362177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 0028319 | 05 | |
| ID | BLUESHIELD | 000010025421 | 01 |
| ID | BLUE CROSS | HW173 | 01 |
| Street Address |
823 HARRISON ST |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912554395 | Connie Enriquez-orozco | Social Worker | 823 Harrison St, Twin Falls, ID 83301-3925 | 2019-08-21 |
| 1063978005 | Sandra Driscoll | Registered Nurse | 823 Harrison St, Twin Falls, ID 83301-3925 | 2019-02-14 |
| 1528548872 | Bill Jay Patterson Sr. | Peer Specialist | 823 Harrison St, Twin Falls, ID 83301-3925 | 2018-08-16 |
| 1528507639 | Rebekah Holt | Behavior Technician | 823 Harrison St, Twin Falls, ID 83301-3925 | 2017-02-22 |
| 1851755367 | Dept of Health and Welfare | Community/Behavioral Health | 823 Harrison St, Twin Falls, ID 83301-3925 | 2016-04-11 |
| 1255795936 | Cecil Gailey | Peer Specialist | 823 Harrison St, Twin Falls, ID 83301 | 2016-04-08 |
| 1669836607 | Samanthia Lou Warren | Community/Behavioral Health | 823 Harrison St, Twin Falls, ID 83301-3925 | 2016-04-06 |
| 1275996654 | Scott Chapin | Social Worker | 823 Harrison St, Twin Falls, ID 83301-3925 | 2016-04-01 |
| 1053774026 | Janice Allen | Registered Nurse | 823 Harrison St, Twin Falls, ID 83301-3925 | 2016-03-29 |
| 1619339942 | Stephen Dayton | Social Worker | 823 Harrison St, Twin Falls, ID 83301-3925 | 2016-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962015339 | Ready for Change, Inc. | Clinic/Center | 1373 Fillmore St, Twin Falls, ID 83301-3392 | 2020-08-26 |
| 1922282821 | Coralyn J Alexander Md Pa | Clinic/Center | 488 Blue Lakes Blvd N, Ste 102, Twin Falls, ID 83301-4800 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808019 | Helping Hearts Counseling Center, Pllc | Clinic/Center | 310 Cleveland Blvd, Caldwell, ID 83605-3624 | 2020-10-12 |
| 1811502438 | Dale Wilson Counseling and Evaluation | Clinic/Center | 6126 W State St Ste 101, Boise, ID 83703-2741 | 2020-09-10 |
| 1144843285 | Whole Health Counseling LLC | Clinic/Center | 2616 W Jefferson St, Boise, ID 83702-4713 | 2020-05-23 |
| 1033740865 | Jackie Nelson, Pllc | Clinic/Center | 202 N 9th St Ste 401c, Boise, ID 83702-5770 | 2020-01-30 |
| 1437621646 | Joanne Burgio Phd LLC | Clinic/Center | 3061 S Meridian Rd Ste 150, Meridian, ID 83642-7962 | 2018-12-28 |
| 1700394822 | Lookout Behavioral Health LLC | Clinic/Center | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2018-01-11 |
| 1346759495 | Pacific Mind Institute | Clinic/Center | 2596 N Stokesberry Pl Ste 165, Meridian, ID 83646-6281 | 2017-09-20 |
| 1336599976 | Easy Go Express | Clinic/Center | 3551 W Antelope Rd, Moore, ID 83255-8754 | 2016-06-14 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1447695630 | Susan M. Beglinger, Ltd | Clinic/Center | 206 E Indiana Ave, Suite 112, Coeur D Alene, ID 83814-2969 | 2013-05-01 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on IDAHO DEPT OF HEALTH & WELFARE R5 AMH CL.
| 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.