ID DEPT OF HEALTH & WELFARE CSHP (HD1) (NPI# 1962625764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962625764 |
| Entity Type | Organization |
| Organization Name | ID DEPT OF HEALTH & WELFARE CSHP (HD1) |
| Practice Address |
8500 N Atlas Rd Hayden ID 83835-8332 |
| Mailing Address |
Po Box 83720 4th Floor Boise ID 83720-0036 |
| Practice Telephone | 2084155136 |
| Practice Fax Number | 2084155131 |
| Mailing Telephone | 2083344935 |
| Mailing Fax Number | 2083327307 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAIGE FINCHER (ACTING PROGRAM MANAGER) |
| Authorized Official Telephone | 2083344935 |
| Authorized Official Credential | BSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD | 000010022948 | 01 |
| ID | 0024706 | 05 | |
| ID | BLUE CROSS OF ID | HW207 | 01 |
| Street Address |
8500 N ATLAS RD |
| City | HAYDEN |
| State | ID |
| Zip Code | 83835-8332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304099 | Public Health District 1 | Home Health | 8500 N Atlas Rd, Hayden, ID 83835-7677 | 2005-05-23 |
| 1306241815 | Natalie M Colla | Dietitian, Registered | 8500 N Atlas Rd, Hayden, ID 83835-8332 | 2014-10-27 |
| 1235556051 | Jennifer G Palmer | Nurse Practitioner | 8500 N Atlas Rd, Hayden, ID 83835-8332 | 2014-03-19 |
| 1851511224 | Panhandle Health District | Public Health or Welfare | 8500 N Atlas Rd, Hayden, ID 83835 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1689158461 | Rskiom, Pllc | Electrodiagnostic Medicine | 9323 N Government Way #6, Hayden, ID 83835 | 2018-09-18 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
| 1366997322 | Jennifer Amber Belmont | Social Worker | 8680 N Wayne Dr, Suite A, Hayden, ID 83835 | 2016-08-19 |
| 1548637994 | Dance Dentistry Pllc | Clinic/Center | 1027 W Prairie Ave, Hayden, ID 83835 | 2015-09-01 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1669812301 | Caleb Jerome Foss | Physical Therapist | 8382 N Wayne Dr Ste 100, Hayden, ID 83835 | 2013-06-26 |
| 1437493798 | Joseph Neal Tessendorf | Chiropractor | 1401 Biztown Loop, Hayden, ID 83835 | 2012-11-26 |
| Find all providers in zip 83835 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356966626 | Pediatrics of Steamboat Springs, PC | Pediatrics | 168 South Walnut Street, Hayden, CO 81639 | 2020-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1316468002 | Shannon Marie Seckel | Pediatrics | 420 N 2nd Ave Ste 100, Sandpoint, ID 83864-1552 | 2017-07-03 |
| 1669918769 | University of Utah Pediatric Services | Pediatrics | 1645 Pancheri Dr, Idaho Falls, ID 83402-3169 | 2017-01-12 |
| 1366836843 | Andrew Nolan Monson | Pediatrics | 775 Pole Line Rd W Ste 111, Twin Falls, ID 83301-5819 | 2015-03-23 |
| 1699172262 | Boundary Regional Community Health Center, Inc. | Pediatrics | 6833 El Paso St, Bonners Ferry, ID 83805-8569 | 2014-11-26 |
| 1801216940 | Seth Branahl | Pediatrics | 520 S Eagle Rd Ste 2209, Meridian, ID 83642-6354 | 2014-04-16 |
| 1437577483 | Kaitlin Burke | Pediatrics | 100 E Idaho St Ste 401, Boise, ID 83712-6267 | 2014-04-06 |
| 1700149887 | Cristina Leon | Pediatrics | 9927 W Gibson Jack Rd, Pocatello, ID 83204-4964 | 2012-06-22 |
| 1063775286 | Abram Collard | Pediatrics | 1236 Bond Ave Ste B, Rexburg, ID 83440-3503 | 2012-06-21 |
| 1205104593 | Pullman Regional Hospital Clinic Network LLC | Pediatrics | 1420 S Blaine St Ste 5, Moscow, ID 83843-3973 | 2011-12-01 |
| Find all providers with the same taxonomy | ||||
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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.