NPIMap

Organization Active NPI

BHC Intermountain Hospital, Inc.

  • Psychiatric Hospital
  • Boise, ID
National Provider Identifier
1881707552
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
46 Issued in ID
Legal business name
BHC INTERMOUNTAIN HOSPITAL, INC.
Practice address
303 Allumbaugh St
Boise, ID 83704-9208
Phone
(208) 377-8400
Fax
(208) 377-4749
NPI assigned
Aug 16, 2006
Last updated
Mar 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 768-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 46 ID Primary
Mental Illness Community Based Residential Treatment Facility 320800000X 20296 ID

Addresses

Primary practice location

303 Allumbaugh St
Boise, ID 83704-9208

Mailing address

303 Allumbaugh St
Boise, ID 83704-9208
Phone (208) 377-8400

Other identifiers 5

IdentifierTypeStateIssuer
HS493PIOtherAKRESIDENTAIL AND INPATIENT
00711OtherIDINPATIENT HOSPITAL
4100349OtherMTRESIDENTAIL TREATMENT FAC
805048800MedicaidID
000010012598OtherIDINPATIENT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030507000027 ID Part A Provider - Hospital 4486564184 Practice locations: Boise, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881707552. Details of each certification follow.

Hospital certification: CCN 134002

Legal name
BHC INTERMOUNTAIN HOSPITAL INC
Doing business as
INTERMOUNTAIN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Sep 4, 1980
Last certification
Feb 19, 2026
Beds
155
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Oct 16, 1996 in TN
Enrollment address
303 N Allumbaugh St
Boise, ID 83704-9208
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Intermountain HospitalCCN 134002 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0646351Intermountain Hospital303 N Allumbaugh St, Boise, ID 83704Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jedonne Hines Individual Contracted Managing EmployeeCfo Aug 2, 2013
Corporate OfficerCfo Aug 2, 2013
BHC Holdings Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Dec 27, 2002 100%
George H Brunner Individual Corporate OfficerAssistant Secretary Nov 15, 2010 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Nov 15, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Thomas M Day Individual Corporate OfficerVice President Jul 21, 2021 100%
Corporate DirectorVice President Jul 21, 2021 33.3%
Todd L Hurt Individual Contracted Managing EmployeeCeo Aug 8, 2022
Corporate OfficerCeo Aug 8, 2022
Steve Filton Individual Corporate OfficerVice President Board Member Nov 15, 2010 100%
Corporate DirectorVice President Board Member Nov 15, 2010 33.3%
Operational/Managerial ControlVice President Board Member Nov 15, 2010 100%
Behavioral Healthcare LLC Organization, King of Prussia, PA LLC 5% Or Greater Direct Ownership Interest Oct 16, 1996 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Oct 15, 2010 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Nov 15, 2010 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Chain home office Operational/Managerial Control Nov 15, 2010 100%
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Dec 27, 2002 100%
Operational/Managerial Control Jul 1, 2005
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman of the Board Mar 25, 2022 86.5%

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1881707552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049208",
            "telephone_number": "208-377-8400",
            "fax_number": "208-377-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049208",
            "telephone_number": "208-377-8400",
            "fax_number": "208-377-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHC INTERMOUNTAIN HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "ID",
            "license": "46",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "ID",
            "license": "20296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTAIL AND INPATIENT",
            "identifier": "HS493PI",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INPATIENT HOSPITAL",
            "identifier": "00711",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTAIL TREATMENT FAC",
            "identifier": "4100349",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805048800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INPATIENT",
            "identifier": "000010012598",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.