Organization Active NPI

Charolais Care VIII, Inc

  • Psychiatric Hospital
  • Twin Falls, ID
National Provider Identifier
1619360724
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
63 Issued in ID
Legal business name
CHAROLAIS CARE VIII, INC
Doing business as
Sawtooth Behavioral Health
Practice address
650 Addison Ave W Ste 300B
Twin Falls, ID 83301-5851
Phone
(208) 736-1050
Fax
(208) 733-2367
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Ms. Angela Dawn Pasquale
Title
Office Manager
Phone
(208) 736-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 63 ID Primary

Addresses

Primary practice location

650 Addison Ave W Ste 300B
Twin Falls, ID 83301-5851

Mailing address

650 Addison Ave W Ste 300B
Twin Falls, ID 83301-5851
Phone (208) 736-1050

Other identifiers 2

IdentifierTypeStateIssuer
571769OtherIDJOINT COMMISSION
63OtherIDSTATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE

Other names 1

  • Sawtooth Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 134015

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SAWTOOTH BEHAVIORAL HEALTH
Certification status
Terminated Voluntary: merger or closure, Aug 26, 2016
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 11, 2016
Last certification
Feb 11, 2016
Beds
29
Ownership / control type
Private (for profit)
Facility address
650 Addison West Suite 300-B
Twin Falls, ID 83301

National Provider Directory

National Provider Directory

Locations

275 S 5th Ave
Lowr
Pocatello, ID 83201
Phone (208) 233-4673

650 Addison Ave W
Ste 300B
Twin Falls, ID 83301
Phone (208) 736-1050

630 Addison Ave W
Ste 300A
Twin Falls, ID 83301
Phone (208) 736-1050

650 Addison Ave W
#300B
Twin Falls, ID 83301
Phone (208) 736-1050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1619360724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 ADDISON AVE W STE 300B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015851",
            "telephone_number": "208-736-1050",
            "fax_number": "208-733-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 ADDISON AVE W STE 300B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015851",
            "telephone_number": "208-736-1050",
            "fax_number": "208-733-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAROLAIS CARE VIII, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "PASQUALE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-736-1050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "ID",
            "license": "63",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOINT COMMISSION",
            "identifier": "571769",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE",
            "identifier": "63",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sawtooth Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.