NPIMap

Organization Active NPI

Innovative Health Care Concepts, Inc.

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
National Provider Identifier
1205214475
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
202875 Issued in ID
Legal business name
INNOVATIVE HEALTH CARE CONCEPTS, INC.
Practice address
111 E 16TH St
Idaho Falls, ID 83404-5919
Phone
(208) 523-1130
Fax
(208) 529-6501
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Lisa Smith
Title
Program Manager
Phone
(208) 523-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 202875 ID Primary

Addresses

Primary practice location

111 E 16TH St
Idaho Falls, ID 83404-5919

Mailing address

520 Hickory LN
Idaho Falls, ID 83402-4754
Phone (208) 357-8780

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1205214475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HICKORY LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024754",
            "telephone_number": "208-357-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 16TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045919",
            "telephone_number": "208-523-1130",
            "fax_number": "208-529-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH CARE CONCEPTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "208-523-1130"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "202875",
            "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 May 8, 2015; 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.