CENTER FOR BEHAVIORAL HEALTH IDAHO, INC. (NPI# 1811421548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811421548 |
| Entity Type | Organization |
| Organization Name | CENTER FOR BEHAVIORAL HEALTH IDAHO, INC. |
| Practice Address |
2275 S Eagle Rd Suite 190 Meridian ID 83642-5079 |
| Mailing Address |
Po Box 897 Boise ID 83701-0897 |
| Practice Telephone | 2082880649 |
| Mailing Telephone | 2083679446 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | BRANT MASSMAN (SEC/TREAS.) |
| Authorized Official Telephone | 2083679446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629223128 | Center for Behavioral Health Idaho, Inc. | Community/Behavioral Health | 1965 S Eagle Rd, Suite 180, Meridian, ID 83642-9288 | 2008-11-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTER FOR BEHAVIORAL HEALTH IDAHO, INC. | 92 S Cole Rd, Boise, ID 83709-0930 |
| Street Address |
2275 S EAGLE RD SUITE 190 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-5079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881869055 | Sw Grant PC | Dentist | 2275 S Eagle Rd, Ste 140, Meridian, ID 83642-5079 | 2008-04-28 |
| 1245679638 | Cody Ray Eaton | Dentist | 2275 S Eagle Rd, Suite 140, Meridian, ID 83642-5079 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688845 | Metro Treatment of Mississippi, Lp | Clinic/Center | 2419 10th St, Meridian, MS 39301-5040 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760738645 | Center for Behavioral Health Idaho, Inc | Clinic/Center | 92 S Cole Rd, Boise, ID 83709-0930 | 2012-07-30 |
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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.