NPIMap

Organization Active NPI

Uhs of Kootenau River Inc

  • Psychiatric Residential Treatment Facility
  • Bonners Ferry, ID
National Provider Identifier
1104998202
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
18321 Issued in ID
Legal business name
UHS OF KOOTENAU RIVER INC
Doing business as
Boulder Creek Academy
Practice address
RR 1 Box 3400
Bonners Ferry, ID 83805-8689
Phone
(801) 227-2100
NPI assigned
Nov 14, 2006
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
Steve Filton
Title
Cfo Sr VP
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 18321 ID Primary

Addresses

Primary practice location

RR 1 Box 3400
Bonners Ferry, ID 83805-8689

Mailing address

1350 E 750 N
Central Business Office
Orem, UT 84097-4345
Phone (801) 227-2100

Other names 1

  • Boulder Creek Academy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ascent3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104998202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E 750 N",
            "address_2": "CENTRAL BUSINESS OFFICE",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974345",
            "telephone_number": "801-227-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 3400",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058689",
            "telephone_number": "801-227-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF KOOTENAU RIVER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO SR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "ID",
            "license": "18321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder Creek Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonners Ferry, 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.