NPIMap

Organization Active NPI

Concordia Health Care Inc

  • Psychiatric Hospital
  • Pocatello, ID
National Provider Identifier
1770977787
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
59 Issued in ID
Legal business name
CONCORDIA HEALTH CARE INC
Practice address
1200 Hospital Way
Pocatello, ID 83201-2708
Phone
(208) 232-2570
Fax
(208) 233-6769
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Rebecca Louise Taylor
Title
President & Ceo
Phone
(208) 221-9137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 59 ID Primary

Addresses

Primary practice location

1200 Hospital Way
Pocatello, ID 83201-2708

Mailing address

2520 S 5TH Ave
Pocatello, ID 83204-1923
Phone (208) 221-9137

Other names 1

  • Concordia Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concordia Care Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1770977787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S 5TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832041923",
            "telephone_number": "208-221-9137",
            "fax_number": "888-222-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012708",
            "telephone_number": "208-232-2570",
            "fax_number": "208-233-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "208-221-9137"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "ID",
            "license": "59",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concordia Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.