NPIMap

Organization Active NPI

Mountain States Group, Inc

  • Social Worker
  • Boise, ID
National Provider Identifier
1225258007
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW2214 Issued in ID
Legal business name
MOUNTAIN STATES GROUP, INC
Practice address
1607 W Jefferson St
Boise, ID 83702-5111
Phone
(208) 336-5533
Fax
(208) 336-0880
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Social Worker 104100000X LSW2214 ID 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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225258007",
    "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": "208-336-0880"
        },
        {
            "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": "208-336-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN STATES GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "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": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW2214",
            "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.