Bow Creek Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BOW CREEK RECOVERY CENTER

Practice address

24093 Bow Creek LN
Caldwell, ID 83607-7529

Phone

(208) 459-1883

Fax

(208) 455-1392

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Linda Susan Dengler

Title

President/Owner

Phone

(510) 520-2466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1962667782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24093 BOW CREEK LANE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "83607",
            "telephone_number": "208-459-1883",
            "fax_number": "208-455-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24093 BOW CREEK LN",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836077529",
            "telephone_number": "208-459-1883",
            "fax_number": "208-455-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOW CREEK RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "DENGLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "510-520-2466",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Bonilla, CRNA
• Phares L Book, PSY.D,LPC
• Timothy Curtis Borup, MD
• Chad Boughey, PHARMD
• Boulevard Chiropractic
• Suzanne Marie Bowen Craft, LPC, NCC
• Michael F Bowers, M.A., LPC
• Lyndon C Box, MD
• Sheryl S Boyd
• Bonnie Brannock-Simonson, PHARM D

• Substance Abuse Rehabilitation Facility in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Substance Abuse Rehabilitation Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.