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IDAHODHWBH3 CALDWELL CMH PSR
NPI 1063540359
Clinic/Center - Rehabilitation in Caldwell, ID

Active since March 01, 2007
3402 FRANKLIN RD, CALDWELL, ID 83605(208) 459-0092(208) 454-7714 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idahodhwbh3 Caldwell Cmh Psr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHODHWBH3 CALDWELL CMH PSR (NPI 1063540359) is a healthcare organization registered as a rehabilitation in Caldwell, Idaho and active in the NPI registry since March 2007. The organization lists Todd L Hurt, Field Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1063540359
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameIDAHODHWBH3 CALDWELL CMH PSR
Location Address3402 FRANKLIN RDCaldwell, ID 83605-6932
Mailing Address3402 Franklin RdCaldwell, ID 83605-6932 · (208) 459-0092 · Fax (208) 454-7714
Phone(208) 459-0092
Fax(208) 454-7714
Organization SubpartNo
Authorized OfficialTodd L HurtField Operations Manager · (208) 455-7057
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063540359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
3402 FRANKLIN RD, Caldwell, ID 83605
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Other Identifiers 3

OtherHW348Blue Cross Of Idaho
Other000010018824Blueshield
Medicaid0028416ID

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA BYRNE LMSW
Social Worker (Clinical)
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 608-8839
IDAHODHWBH3 CALD AMH PSR
Clinic/Center (Mental Health (Including Community Mental Health Center))
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 459-0092
GLORIA TAGUE LSW
Social Worker
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 459-0092
MRS. AMANDA KAY GOLDSTON LCSW
Social Worker (Clinical)
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 455-7045
IDAHO DEPT OF HEALTH & WELFARE AMHCALPGREG3
Psychologist (Prescribing (Medical))
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 459-0092
MS. ASHA SHARP LMSW
Social Worker (Clinical)
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 455-7033
MARK KEYLOR LMSW
Social Worker
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 455-7061
IDAHO DEPARTMENT OF HEALTH & WELFARE
Clinic/Center (Adolescent and Children Mental Health)
3402 FRANKLIN RD
CALDWELL, ID 83605
Canyon County (208) 459-0092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idahodhwbh3 Caldwell Cmh Psr's NPI number?

The NPI number for Idahodhwbh3 Caldwell Cmh Psr is 1063540359. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Idahodhwbh3 Caldwell Cmh Psr located?

Idahodhwbh3 Caldwell Cmh Psr is located at 3402 Franklin Rd, Caldwell, ID 83605. The listed phone number is (208) 459-0092.

What is Idahodhwbh3 Caldwell Cmh Psr's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Idahodhwbh3 Caldwell Cmh Psr was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.