State of Idaho Department of Health and Welfare
Organization
Active NPI
Community/Behavioral Health Agency · Boise, ID
NPI 1740117522 · NPPES record last updated May 6, 2026
Key facts
- NPI
- 1740117522
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
- Practice address
- 450 W State St
Boise, ID 83702-6056
- Phone
- (208) 475-2342
- NPI assigned
- May 6, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Authorized official
- Name
- Michelle S Matlock
- Title
- Financial Unit Supervisor
- Phone
- (208) 475-2342
Corporate family (same tax ID) 24
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National Provider Directory
- Tax ID family
- Reg VI Mental Health Ctr (114 organizations share this tax ID)
- Part of
- Reg VI Mental Health Ctr
Locations
450 W State St
Boise, ID 83702
Phone (208) 334-5952
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Community/Behavioral Health Agency |
251S00000X |
|
|
Yes |
Addresses
Primary practice location
450 W State St
Boise, ID 83702-6056
Mailing address
450 W State St
Boise, ID 83702-6056
Phone (208) 475-2342