Organization Active NPI

The Walker Center for Alcoholism and Drug Abuse, Inc.

Doing business as The Walker Center

  • Substance Abuse Rehabilitation Facility
  • Gooding, ID
National Provider Identifier
1861500035
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE WALKER CENTER FOR ALCOHOLISM AND DRUG ABUSE, INC.
Doing business as
The Walker Center
Practice address
605 11TH Ave E
Gooding, ID 83330-5368
Phone
(208) 934-8461
Fax
(208) 934-5437
NPI assigned
Aug 28, 2006
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 ID Primary

Addresses

Primary practice location

605 11TH Ave E
Gooding, ID 83330-5368

Mailing address

605 11TH Ave E
Gooding, ID 83330-5368
Phone (208) 934-8461

Other practice location 1

1102 Eastglen Way
Twin Falls, ID 83301-7671
Phone (208) 734-4200

Other identifiers 1

IdentifierTypeStateIssuer
807365800MedicaidID

Other names 1

  • The Walker Center Doing business as

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1861500035",
    "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",
            "telephone_number": "208-934-8461",
            "fax_number": "208-934-5437"
        },
        {
            "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": [
        {
            "address_1": "1102 Eastglen Way",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833017671",
            "country_code": "US",
            "telephone_number": "208-734-4200",
            "fax_number": "208-734-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE WALKER CENTER FOR ALCOHOLISM AND DRUG ABUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "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": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807365800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Walker Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Walker Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.