NPIMap

Organization Active NPI

West Valley Medical Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caldwell, ID
National Provider Identifier
1881637122
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WEST VALLEY MEDICAL CENTER INC
Practice address
1717 Arlington Ave
Caldwell, ID 83605
Phone
(208) 455-4641
NPI assigned
Jun 14, 2006
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST VALLEY MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mrs. Kathy Moore
Title
Ceo
Phone
(208) 455-3718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1717 Arlington Ave
Caldwell, ID 83605

Mailing address

1717 Arlington Ave
Caldwell, ID 83605-4802

Other identifiers 2

IdentifierTypeStateIssuer
804302300MedicaidID
805094000MedicaidID

National Provider Directory

National Provider Directory
Part of
West Valley Medical Center Inc

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1881637122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 ARLINGTON AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ARLINGTON AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "83605",
            "telephone_number": "208-455-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST VALLEY MEDICAL CENTER, INC.",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-455-3718",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804302300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805094000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.