NPIMap

Organization Active NPI

Mountain States Group, Inc.

  • Case Management Agency
  • Boise, ID
National Provider Identifier
1154543262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MOUNTAIN STATES GROUP, INC.
Practice address
1607 W Jefferson St
Boise, ID 83702-5111
Phone
(208) 336-5533
Fax
(208) 947-4290
NPI assigned
May 2, 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
Mr. Hartzell Cobbs
Title
Executive Director
Phone
(208) 336-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1607 W Jefferson St
Boise, ID 83702-5111

Mailing address

1607 W Jefferson St
Boise, ID 83702-5111
Phone (208) 336-5533

National Provider Directory

National Provider Directory
Tax ID family
Mountain States Group Inc4 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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154543262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 W JEFFERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025111",
            "telephone_number": "208-336-5533",
            "fax_number": "208-947-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 W JEFFERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025111",
            "telephone_number": "208-336-5533",
            "fax_number": "208-947-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN STATES GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBBS",
        "authorized_official_first_name": "HARTZELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-336-5533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, 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.