NPIMap

Organization Active NPI

Development Workshop Inc

Doing business as Salmon River Industries

  • Developmentally Disabled Services Day Training Agency
  • Salmon, ID
National Provider Identifier
1609092519
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
02396601 Issued in ID
Legal business name
DEVELOPMENT WORKSHOP INC
Doing business as
Salmon River Industries
Practice address
1 Airport Plaza
Salmon, ID 83467-1232
Phone
(208) 756-4608
Fax
(208) 156-8998
NPI assigned
Apr 18, 2007
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Ms. Lori Gentillon
Title
VP Rehabilitation
Phone
(208) 524-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 02396601 ID Primary

Addresses

Primary practice location

1 Airport Plaza
Salmon, ID 83467-1232

Mailing address

PO Box 1232
Salmon, ID 83467-1232
Phone (208) 756-4608

Other identifiers 1

IdentifierTypeStateIssuer
02396601MedicaidID

Other names 1

  • Salmon River Industries Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Development Workshop Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1609092519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1232",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834671232",
            "telephone_number": "208-756-4608",
            "fax_number": "208-756-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AIRPORT PLAZA",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834671232",
            "telephone_number": "208-756-4608",
            "fax_number": "208-156-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENT WORKSHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "GENTILLON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "VP REHABILITATION",
        "authorized_official_telephone_number": "208-524-1550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "02396601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02396601",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salmon River Industries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salmon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.