NPIMap

Organization Active NPI

Lemhi Valley Social Services, Inc.

  • Community/Behavioral Health Agency
  • Salmon, ID
National Provider Identifier
1043344393
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEMHI VALLEY SOCIAL SERVICES, INC.
Practice address
1211 Main St
Suite 2
Salmon, ID 83467-4303
Phone
(208) 756-2927
Fax
(208) 756-1518
NPI assigned
Mar 16, 2007
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Mary SmithNPI 1497907869
Title
Owner
Phone
(208) 524-5607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1211 Main St
Suite 2
Salmon, ID 83467-4303

Mailing address

1380 Benton St
Idaho Falls, ID 83401-4254
Phone (208) 523-2490

Other identifiers 1

IdentifierTypeStateIssuer
804145700MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Lemhi Valley Social Services 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1043344393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 BENTON ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014254",
            "telephone_number": "208-523-2490",
            "fax_number": "208-522-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MAIN ST",
            "address_2": "SUITE 2",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674303",
            "telephone_number": "208-756-2927",
            "fax_number": "208-756-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMHI VALLEY SOCIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-524-5607"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804145700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salmon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.