NPIMap

Organization Active NPI

The Living Farm, PC

  • Community/Behavioral Health Agency
  • Blackfoot, ID
National Provider Identifier
1316000441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NOT REQUIRED Issued in ID
Legal business name
THE LIVING FARM, PC
Practice address
373 W Highway 39 # 2
Blackfoot, ID 83221-5600
Phone
(208) 709-4538
NPI assigned
Dec 19, 2006
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. John K Baird, MPA, LSW
Title
President
Phone
(208) 552-9966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NOT REQUIRED ID Primary

Addresses

Primary practice location

373 W Highway 39 # 2
Blackfoot, ID 83221-5600

Mailing address

7079 E Panorama Dr
Idaho Falls, ID 83401-5826

National Provider Directory

National Provider Directory
Tax ID family
The Living Farm PC3 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.

Locations

373 W Highway 39
Apt 2
Blackfoot, ID 83221
Phone (208) 709-4538

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316000441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7079 E PANORAMA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 W HIGHWAY 39 # 2",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215600",
            "telephone_number": "208-709-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVING FARM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-552-9966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA, LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "NOT REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackfoot, 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.