Charolais Care VIII, Inc

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

CHAROLAIS CARE VIII, INC

Practice address

500 Polk St E
Kimberly, ID 83341-1618

Phone

(208) 423-5591

Fax

(208) 423-5651

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Carleen Wellard

Title

Executive Assistant

Phone

(208) 221-2019

Specialties & licenses 1

Addresses

Other names 1

• Mountain View Center for Geriatric Psychiatry Doing business as

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1639307358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 E CENTER ST",
            "address_2": "SUITE 212",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013300",
            "telephone_number": "208-233-4673",
            "fax_number": "208-233-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 POLK ST E",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833411618",
            "telephone_number": "208-423-5591",
            "fax_number": "208-423-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAROLAIS CARE VIII, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "WELLARD",
        "authorized_official_first_name": "CARLEEN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "208-221-2019"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Center for Geriatric Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danton Lafey Bradshaw, D.D.S.
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• Elsa Carrow, M.A. EDUCATION
• Charolais Care II, Inc
• Charolais Care II, Inc
• Jeremy Daniel Chatterton, SLP
• Chattertown Therapy
• Amazia Rose Espinosa
• Family Health Services Corporation
• Family Health Services Corporation

• All providers in Kimberly, ID
• Psychiatric Hospital in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.