The Living Farm, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE LIVING FARM, PC

Practice address

7079 E Panorama Dr
Idaho Falls, ID 83401-5826

Phone

(208) 552-9966

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John K Baird, MPA, LSW

Title

President

Phone

(208) 552-9966

Specialties & licenses 1

Addresses

Tax ID family

The Living Farm PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Living Farm, PC

  • Community/Behavioral Health Agency
  • Blackfoot, ID
  • NPI 1275759763
  NPD tax ID
• The Living Farm, PC

  • Community/Behavioral Health Agency
  • Blackfoot, ID
  • NPI 1316000441
  NPD tax ID

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891818258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7079 E PANORAMA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7079 E PANORAMA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015826",
            "telephone_number": "208-552-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVING FARM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-552-9966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA, LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.