Scottish Rite Foundation of Idaho

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SCOTTISH RITE FOUNDATION OF IDAHO

Practice address

564 Shoup Ave W
Twin Falls, ID 83301-5029

Phone

(208) 734-3914

Fax

(208) 734-3957

NPI assigned

Aug 14, 2007

Last updated

Aug 14, 2007By 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

Mrs. Melody Allen Lenkner, M.A. CCC-SLP

Title

Director

Phone

(208) 734-3914

Specialties & licenses 1

Addresses

Other names 1

• Southern Idaho Learning Center Other name

Locations

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1902098833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 SHOUP AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015029",
            "telephone_number": "208-734-3914",
            "fax_number": "208-734-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 SHOUP AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015029",
            "telephone_number": "208-734-3914",
            "fax_number": "208-734-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTISH RITE FOUNDATION OF IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "LENKNER",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-734-3914",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Idaho Learning Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in Twin Falls, ID
• Providers in Twin 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 Aug 14, 2007; 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.