Organization Active NPI

The Walker Center for Alcoholism and Drug Abuse, Inc.

  • Substance Abuse Rehabilitation Facility
  • Gooding, ID
National Provider Identifier
1710374301
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1136-02 Issued in HI
Legal business name
THE WALKER CENTER FOR ALCOHOLISM AND DRUG ABUSE, INC.
Practice address
605 11TH Ave E
Gooding, ID 83330-5368
Phone
(208) 934-8461
Fax
(208) 934-5437
NPI assigned
Apr 21, 2015
Last updated
Aug 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Elizabeth Amy Kast
Title
Community Network Manager
Phone
(208) 934-8461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1136-02 HI Primary

Addresses

Primary practice location

605 11TH Ave E
Gooding, ID 83330-5368

Mailing address

605 11TH Ave E
Gooding, ID 83330-5368

National Provider Directory

National Provider Directory
Tax ID family
The Walker Center for Alcoholism and Drug Abuse Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

605 11th Ave E
Gooding, ID 83330
Phone (208) 934-8461

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1710374301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 11TH AVE E",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833305368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 11TH AVE E",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833305368",
            "telephone_number": "208-934-8461",
            "fax_number": "208-934-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WALKER CENTER FOR ALCOHOLISM AND DRUG ABUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "KAST",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "AMY",
        "authorized_official_title_or_position": "COMMUNITY NETWORK MANAGER",
        "authorized_official_telephone_number": "208-934-8461"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "HI",
            "license": "1136-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gooding, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.