EASTERN IDAHO HEALTH SERVICES INC (NPI# 1740287911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740287911 |
| Entity Type | Organization |
| Organization Name | EASTERN IDAHO HEALTH SERVICES INC |
| Other Organization Name | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Practice Address |
2280 E 25th St Idaho Falls ID 83404-7542 |
| Mailing Address |
3100 Channing Way Idaho Falls ID 83404-7533 |
| Practice Telephone | 2082272100 |
| Practice Fax Number | 2082272368 |
| Mailing Telephone | 2085296111 |
| Mailing Fax Number | 2085297021 |
| Enumeration Date | 2005-07-04 |
| Last Update Date | 2016-09-09 |
| Authorized Official Name | MR. DOUG CRABTREE (CEO) |
| Authorized Official Telephone | 2085296210 |
| Is Organization Subpart | Y |
| Parent Organization Name | EASTERN IDAHO HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 114794303 | 05 |
| Other Name | Type Code |
|---|---|
| EASTERN IDAHO REGIONAL MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225082209 | Eastern Idaho Health Services Inc | General Acute Care Hospital | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2006-05-22 |
| Street Address |
2280 E 25TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716604 | Amber Jane Van Sickle-birch | Registered Nurse | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2020-06-28 |
| 1922641968 | Anna Blonquist | Nurse Practitioner | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2019-10-22 |
| 1356984561 | Jeremy Scott Mihu | Physician Assistant | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2019-10-21 |
| 1932552379 | Craig J Denny Md Prof | Psychiatry & Neurology | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2016-07-21 |
| 1205213246 | Adam Nielsen Burch | Psychiatry & Neurology | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2015-04-28 |
| 1639468465 | Kyle Matthew Greer | Psychiatry & Neurology | 2280 E 25th St, Idaho Falls, ID 83404 | 2011-04-01 |
| 1982924411 | John Edward Landers | Psychologist | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2010-06-07 |
| 1831413681 | Matthew F Larsen | Psychiatry & Neurology | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2010-03-23 |
| 1770728040 | Craig J Denny Md Prof Corp | Psychiatry & Neurology | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2008-12-15 |
| 1972668531 | Mary Beth Ostrom | Psychiatry & Neurology | 2280 E 25th St, Idaho Falls, ID 83404-7542 | 2006-12-26 |
| Find all providers in the same location | ||||
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164469870 | St Lukes Magic Valley Regional Medical Center Ltd | Psychiatric Unit | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2006-06-01 |
| 1841719713 | Bmh Inc | Psychiatric Unit | 98 Poplar St, Blackfoot, ID 83221 | 2017-09-12 |
| 1417330119 | St. Luke's Canyon View | Psychiatric Unit | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2015-06-30 |
| 1205975851 | St. Joseph Hospital, LLC | Psychiatric Unit | 415 6th St, Lewiston, ID 83501-2431 | 2007-02-06 |
| 1568567360 | Kootenai Health | Psychiatric Unit | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2006-09-14 |
| 1770687857 | St. Alphonsus Reg Med | Psychiatric Unit | 1055 N Curtis Rd, Boise, ID 83706 | 2006-09-11 |
| 1295777274 | Portneuf Medical Center Behavioral Health Servi | Psychiatric Unit | 777 Hospital Way, Pocatello, ID 83201-5175 | 2006-06-12 |
| 1891732905 | West Valley Medical Center, Inc. | Psychiatric Unit | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2006-05-31 |
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.