NPIMap

Organization Active NPI

Idaho Dept of Health & Welfare Amh Clinic Boise

  • Adult Mental Health Clinic/Center
  • Boise, ID
National Provider Identifier
1487784435
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
IDAHO DEPT OF HEALTH & WELFARE AMH CLINIC BOISE
Practice address
1720 Westgate Dr
Suite B-1
Boise, ID 83704-7164
Phone
(208) 334-0894
Fax
(208) 334-0804
NPI assigned
Mar 7, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Gina Westcott, M.A.
Title
Program Manager
Phone
(208) 334-0969

National Provider Directory

National Provider Directory
Tax ID family
Reg VI Mental Health Ctr114 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

NPPES NPI Registry

Primary practice location

1720 Westgate Dr
Suite B-1
Boise, ID 83704-7164

Mailing address

1720 Westgate Dr
Suite B-1
Boise, ID 83704-7164
Phone (208) 334-0894

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
0028320MedicaidID
HW280OtherBLUE CROSS OF IDAHO
000010018973OtherBLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487784435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WESTGATE DR",
            "address_2": "SUITE B-1",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047164",
            "telephone_number": "208-334-0894",
            "fax_number": "208-334-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 WESTGATE DR",
            "address_2": "SUITE B-1",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047164",
            "telephone_number": "208-334-0894",
            "fax_number": "208-334-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO DEPT OF HEALTH & WELFARE AMH CLINIC BOISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTCOTT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "208-334-0969",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028320",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "HW280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010018973",
            "state": null
        }
    ],
    "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.