Active NPI
The Walker Center for Alcoholism and Drug Abuse, Inc.
- Substance Abuse Rehabilitation Facility
- Twin Falls, ID
National Provider Identifier
1386965895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- THE WALKER CENTER FOR ALCOHOLISM AND DRUG ABUSE, INC.
- Practice address
- 1102 Eastglen Way
Twin Falls, ID 83301-7671 - Phone
- (208) 734-4200
- Fax
- (208) 734-1404
- NPI assigned
- Jun 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Amy Kast
- Title
- Community Network Manager
- Phone
- (208) 934-8461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | ID | Primary |
Addresses
Primary practice location
1102 Eastglen Way
Twin Falls, ID 83301-7671
Mailing address
605 11TH Ave E
Gooding, ID 83330-5368
Phone (208) 934-8161
Other practice location 1
605 11th Ave E
Gooding, ID 83330-5368
Phone (208) 934-8161
Other names 1
- The Walker Center Intensive Outpatient Program
National Provider Directory
National Provider Directory- Tax ID family
- The Walker Center for Alcoholism and Drug Abuse Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Gooding, ID
- NPI 1710374301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661126400000",
"number": "1386965895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 11TH AVE E",
"city": "GOODING",
"state": "ID",
"postal_code": "833305368",
"telephone_number": "208-934-8161",
"fax_number": "208-934-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 EASTGLEN WAY",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833017671",
"telephone_number": "208-734-4200",
"fax_number": "208-734-1404"
}
],
"practiceLocations": [
{
"address_1": "605 11th Ave E",
"address_purpose": "LOCATION",
"city": "Gooding",
"state": "ID",
"postal_code": "833305368",
"country_code": "US",
"telephone_number": "208-934-8161",
"fax_number": "208-934-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE WALKER CENTER FOR ALCOHOLISM AND DRUG ABUSE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-18",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A",
"authorized_official_last_name": "KAST",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "AMY",
"authorized_official_title_or_position": "COMMUNITY NETWORK MANAGER",
"authorized_official_telephone_number": "208-934-8461"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Walker Center Intensive Outpatient Program",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Walker Center Intensive Outpatient Program",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.