NPIMap

Organization Active NPI

Northwest Children'S Home

  • Clinic/Center
  • Lewiston, ID
National Provider Identifier
1760014872
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NORTHWEST CHILDREN'S HOME
Practice address
602 13TH St
Lewiston, ID 83501-2586
Phone
(208) 746-3388
Fax
(208) 413-6772
NPI assigned
Feb 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Jennifer Skeels
Title
Business Office Manager
Phone
(208) 743-9404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

602 13TH St
Lewiston, ID 83501-2586

Mailing address

419 22ND Ave
Lewiston, ID 83501-3812

Other names 1

  • Brighter Futures Outpatient Clinic Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhorner@nwch.us Direct

National Provider Directory

National Provider Directory
Tax ID family
Northwest Children'S Home5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

602 13th St
Lewiston, ID 83501
Phone (208) 675-7350

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1760014872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 22ND AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835013812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 13TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012586",
            "telephone_number": "208-746-3388",
            "fax_number": "208-413-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "SKEELS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "208-743-9404"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhorner@nwch.us",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Lewiston",
            "address_1": "602 13th St",
            "city": "Lewiston",
            "state": "ID",
            "country_code": "US",
            "postal_code": "835012586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brighter Futures Outpatient Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.