IDAHO DEPT OF HEALTH & WELFARE ESC REGION 4 (NPI# 1750423216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750423216 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE ESC REGION 4 |
| Practice Address |
1720 Westgate Dr Suite B-2 Boise ID 83704-7164 |
| Practice Telephone | 2083340900 |
| Practice Fax Number | 2083340926 |
| Mailing Telephone | 2083340900 |
| Mailing Fax Number | 2083340926 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARY J JONES (PROGRAM MANAGER) |
| Authorized Official Telephone | 2083345523 |
| Authorized Official Credential | B.U.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 0028454 | 05 |
| Street Address |
1720 WESTGATE DR SUITE B-2 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-7164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609811728 | Charles Terry Priscock | Social Worker | 1720 Westgate Dr, Boise, ID 83704-7164 | 2006-06-20 |
| 1891825824 | Idaho Dept of Health & Welfare Region 4 Cmh Psr Boise | Clinic/Center | 1720 Westgate Dr, Suite D, Boise, ID 83704-7164 | 2007-03-07 |
| 1205966249 | Idaho Dept of Health & Welfare Cmh Clinic Boise | Clinic/Center | 1720 Westgate Dr, Suite D, Boise, ID 83704-7164 | 2007-03-07 |
| 1487784435 | Idaho Dept of Health & Welfare Amh Clinic Boise | Clinic/Center | 1720 Westgate Dr, Suite B-1, Boise, ID 83704-7164 | 2007-03-07 |
| 1205966157 | Idaho Dept of Health & Welfare Amh Psr Boise | Clinic/Center | 1720 Westgate Dr, Suite B-1, Boise, ID 83704-7164 | 2007-03-07 |
| 1568502409 | Idaho Dept of Health & Welfare Itp Region 4 | Local Education Agency (LEA) | 1720 Westgate Dr, Suite B-2, Boise, ID 83704-7164 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588199277 | Pride Mental Health LLC | Case Management | 8310 W Ustick Rd, Suite 300, Boise, ID 83704-5979 | 2017-05-01 |
| 1982045464 | Agency for Cultural Alliance, LLC | Case Management | 1655 W Fairview Ave Ste 103, Boise, ID 83702-5173 | 2013-07-11 |
| 1285078949 | Brighter Future Health Inc | Case Management | 9196 W Emerald St Ste 135, Boise, ID 83704-8004 | 2013-04-24 |
| 1396094918 | Premiere Case Management | Case Management | 518 N 8th St, Boise, ID 83702-5515 | 2012-08-29 |
| 1699081984 | A Better Life Behavioral Health Services, Inc. | Case Management | 4696 W. Overland Rd., 224, Boise, ID 83705-8103 | 2010-08-24 |
| 1740502830 | Leyline Advocates, LLC | Case Management | 250 W Bobwhite Ct Ste 230, Boise, ID 83706-6656 | 2010-02-17 |
| 1518192970 | A Better Life Mental Health and Addictions Services | Case Management | 2309 N Mountain View Dr, Suite#167, Boise, ID 83706-1000 | 2009-05-28 |
| 1184880924 | Idaho Behavioral Health, Inc. | Case Management | 2273 S. Vista, Suite 190, Boise, ID 83705 | 2008-07-31 |
| 1740463132 | Idaho Center for Autism, LLC | Case Management | 5353 Franklin Rd, Boise, ID 83705-1112 | 2007-12-10 |
| 1194915082 | Cornerstone Psychological Associates, Pllc | Case Management | 1755 Westgate Dr Ste 260, Boise, ID 83704-7176 | 2007-07-27 |
| Find all providers in BOISE | ||||
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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.