NPIMap

Organization Active NPI

Charolais Care II, Inc

Doing business as Valley South Hospital for Geriatric Psychiatry

  • Psychiatric Hospital
  • Kimberly, ID
National Provider Identifier
1871745372
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
CHAROLAIS CARE II, INC
Doing business as
Valley South Hospital for Geriatric Psychiatry
Practice address
500 Polk St E
Kimberly, ID 83341-1618
Phone
(208) 423-5591
NPI assigned
Oct 15, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Carleen Wellard
Title
Administrative Assistant
Phone
(208) 221-2019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

500 Polk St E
Kimberly, ID 83341-1618

Mailing address

110 N 800 E
Jerome, ID 83338-5724

Other names 1

  • Valley South Hospital for Geriatric Psychiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charolais Care II 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.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1871745372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 800 E",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833385724",
            "fax_number": "208-904-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 POLK ST E",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833411618",
            "telephone_number": "208-423-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAROLAIS CARE II, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "WELLARD",
        "authorized_official_first_name": "CARLEEN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "208-221-2019"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley South Hospital for Geriatric Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kimberly, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.