NPIMap

Organization Active NPI

RBTD Inc

Doing business as Impact

  • Community/Behavioral Health Agency
  • Rigby, ID
National Provider Identifier
1043427446
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RBTD INC
Doing business as
Impact
Practice address
152 E Main St # 106
Rigby, ID 83442-1418
Phone
(208) 522-8899
Fax
(208) 522-6596
NPI assigned
May 16, 2007
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mr. Bruce W Hampton, LSW
Title
Administrator
Phone
(208) 522-8899

Specialties & licenses 1

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

Addresses

Primary practice location

152 E Main St # 106
Rigby, ID 83442-1418

Mailing address

152 E Main St # 106
Rigby, ID 83442-1418
Phone (208) 522-8899

Other names 1

  • Impact Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Impact4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1043427446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 E MAIN ST # 106",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421418",
            "telephone_number": "208-522-8899",
            "fax_number": "208-522-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 E MAIN ST # 106",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421418",
            "telephone_number": "208-522-8899",
            "fax_number": "208-522-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RBTD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-522-8899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.