Bonneville County

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

LCSW-24942 Issued in ID

Legal business name

BONNEVILLE COUNTY

Practice address

445 N Capital Ave
Idaho Falls, ID 83402-3652

Phone

(208) 705-5071

Fax

(208) 523-5974

NPI assigned

Feb 6, 2008

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roger S Christensen

Title

County Commissioner

Phone

(208) 529-1360

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Rex Delane Thornley, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1558530501
  NPD (past)

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1891973392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N CAPITAL AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023582",
            "telephone_number": "208-705-5071",
            "fax_number": "208-523-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N CAPITAL AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023652",
            "telephone_number": "208-705-5071",
            "fax_number": "208-523-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNEVILLE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COUNTY COMMISSIONER",
        "authorized_official_telephone_number": "208-529-1360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "LCSW-24942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Boge, MD
• Eileen Sherry Boge, CRNA
• Brion L Boldt, BA
• Kara Dee Boll
• Nikie Greene Bone, LPC
• Bonneville School Dist #93
• Bonneville Surgery Center LLC
• Bonneville Vision, PLLC
• Taylor Bonning, BS
• Ethan Bryan Booker, LMSW

• Case Management Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.