Idaho Dhwbh3 Caldamhclinic
Organization
Active NPI
Adult Mental Health Clinic/Center · Caldwell, ID
NPI 1700913340 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1700913340
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- IDAHO DHWBH3 CALDAMHCLINIC
- Practice address
- 3402 Franklin Rd
Caldwell, ID 83605-6932
- Phone
- (208) 459-0092
- Fax
- (208) 454-7714
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Todd L Hurt, M.S.
- Title
- Field Operations Manager
- Phone
- (208) 455-7057
Corporate family (same tax ID) 24
Organizations that report the same tax identification number in the National Provider Directory.
-
Id Dept of Health & Welfare CSHP (Acf) Pediatrics Physician · Boise, ID · NPI 1710009246
-
Id Dept of Health & Welfare CSHP (HD6) Pediatrics Physician · Idaho Falls, ID · NPI 1669595864
-
Idaho Dept of Health & Welfare Adolescent and Children Mental Health Clinic/Center · Payette, ID · NPI 1689984254
-
Idaho Dept of Health & Welfare Amh PSR McCall Mental Health Clinic/Center (Including Community Mental Health Center) · McCall, ID · NPI 1679603948
-
Idaho Dept of Health & Welfare Amh PSR Mt Home Mental Health Clinic/Center (Including Community Mental Health Center) · Mountain Home, ID · NPI 1720118904
-
Idaho Dept of Health & Welfare Esc Region 4 Case Management Agency · Boise, ID · NPI 1750423216
-
Idaho Dept of Health & Welfare Itp Region 5 Early Intervention Provider Agency · Twin Falls, ID · NPI 1730220237
-
Idaho Dept of Health & Welfare R5 Amh CL Adult Mental Health Clinic/Center · Twin Falls, ID · NPI 1720119225
-
Idaho Dept of Health & Welfare Reg 1 Amh Adult Mental Health Clinic/Center · St Maries, ID · NPI 1710284047
-
Idaho Dept of Health & Welfare Reg 1 Amh PSR Kellogg Mental Health Clinic/Center (Including Community Mental Health Center) · Kellogg, ID · NPI 1730216961
-
Idaho Dept of Health & Welfare Reg 2 CMH Adolescent and Children Mental Health Clinic/Center · Moscow, ID · NPI 1639476294
-
Idaho Dept of Health & Welfare Reg 6 CMH BF C Adolescent and Children Mental Health Clinic/Center · Blackfoot, ID · NPI 1710019476
-
Idaho Dept of Health & Welfare Reg 7 CMH P C Rehabilitation Clinic/Center · Blackfoot, ID · NPI 1639201593
-
Idaho Dept of Health & Welfare Reg II Amh Grangeville Mental Health Clinic/Center (Including Community Mental Health Center) · Grangeville, ID · NPI 1578691614
-
Idaho Dept of Health & Welfare Reg II CMH Moscow Rehabilitation Clinic/Center · Moscow, ID · NPI 1720116551
-
Idaho Dept of Health & Welfare Reg II CMH Orofino Rehabilitation Clinic/Center · Orofino, ID · NPI 1699804682
-
Idaho Dept of Health & Welfare Region 7 CMH Clinic If Adolescent and Children Mental Health Clinic/Center · Idaho Falls, ID · NPI 1629104047
-
Idaho Division of Behavioral Health Community/Behavioral Health Agency · Boise, ID · NPI 1710287149
-
Idahodhwbh3 Payette Amh PSR Mental Health Clinic/Center (Including Community Mental Health Center) · Payette, ID · NPI 1568590073
-
Savu Florentina Adult Day Care Clinic/Center · Boise, ID · NPI 1720128341
-
State of Idaho Podiatrist · Nampa, ID · NPI 1588780449
-
State of Idaho Department of Health and Welfare Psychiatric Hospital · Orofino, ID · NPI 1598831653
-
-
State of Idaho Department of Health and Welfare Community/Behavioral Health Agency · Boise, ID · NPI 1740117522
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
Lindsey Barroso, R.N.
Psychiatric/Mental Health Clinical Nurse Specialist · Caldwell, ID · NPI 1467720268
-
Teri Mohr, R.N.
Psychiatric/Mental Health Clinical Nurse Specialist · Caldwell, ID · NPI 1962770776
National Provider Directory
- Tax ID family
- Reg VI Mental Health Ctr (114 organizations share this tax ID)
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
| Adult Mental Health Clinic/Center |
261QM0850X |
|
|
Yes |
Addresses
Primary practice location
3402 Franklin Rd
Caldwell, ID 83605-6932
Mailing address
3402 Franklin Rd
Caldwell, ID 83605-6932
Phone (208) 459-0092
Other identifiers
| Identifier | Type | State | Issuer |
| HW298 | Other | ID | BLUE CROSS OF IDAHO |
| 000010027633 | Other | ID | BLUESHIELD |
| 8062827 | Medicaid | ID | |