Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Active OrganizationPsychiatric Hospital · BLACKFOOT, ID
Registration Details
- NPI Number
- 1992789101
- Provider Type
- Organization
- NPI Issued
- Dec 1, 2005 (20.406322856667 yrs)
- Last Updated
- May 8, 2013
- License
-
#17 (ID)
Practice Information
- Address
-
700 EAST ALICEBOX 400BLACKFOOT, ID, 83221Browse ID providers · Browse ZIP 83221
- Phone
- 2087851200
- Fax
- 2087858518
- Primary Specialty
-
Psychiatric Hospital
283Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.