NPIMap

Organization Active NPI

Independence, Inc.

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
National Provider Identifier
1013031707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INDEPENDENCE, INC.
Practice address
1230 N Skyline Dr
Ste. a
Idaho Falls, ID 83402-1720
Phone
(208) 524-0881
Fax
(208) 524-0886
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Diane Elaine Moore, LSW
Title
Administrator
Phone
(208) 524-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ID Primary

Addresses

Primary practice location

1230 N Skyline Dr
Ste. a
Idaho Falls, ID 83402-1720

Mailing address

1230 N Skyline Dr
Ste. a
Idaho Falls, ID 83402-1720
Phone (208) 524-0881

National Provider Directory

National Provider Directory
Tax ID family
Independence Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013031707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N SKYLINE DR",
            "address_2": "STE. A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021720",
            "telephone_number": "208-524-0881",
            "fax_number": "208-524-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N SKYLINE DR",
            "address_2": "STE. A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021720",
            "telephone_number": "208-524-0881",
            "fax_number": "208-524-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-524-0881",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.