Bonneville County
Organization Active NPI Case Management Agency · Idaho Falls, ID
NPI 1891973392 · NPPES record last updated Feb 6, 2008
Key facts
- NPI
- 1891973392
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- License
- LCSW-24942 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Roger S Christensen
- Title
- County Commissioner
- Phone
- (208) 529-1360
Practitioners 1
-
Rex Delane Thornley, LCSW
National Provider Directory
Locations
605 N Capital Ave
Idaho Falls, ID 83402
Phone (208) 529-1350
445 N Capital Ave
Idaho Falls, ID 83402
Phone (208) 705-5071
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | LCSW-24942 | ID | Yes |
Addresses
Primary practice location
445 N Capital Ave
Idaho Falls, ID 83402-3652
Mailing address
605 N Capital Ave
Idaho Falls, ID 83402-3582
Phone (208) 705-5071
Other providers in Idaho Falls, ID
- Charles R Boge
- Eileen Sherry Boge
- Brion L Boldt
- Kara Dee Boll
- Nikie Greene Bone
- Bonneville School Dist #93
- Bonneville Surgery Center LLC
- Bonneville Vision, PLLC
- Taylor Bonning
- Ethan Bryan Booker
All providers in Idaho Falls, ID · Case Management Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.