NORTH IDAHO DETOX
NPI 1073267654
Substance Abuse Rehabilitation Facility in Post Falls, ID

Active since February 11, 2022
1654 E VELORA DR, POST FALLS, ID 83854(208) 918-3835 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About North Idaho Detox NPPES

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

NORTH IDAHO DETOX (NPI 1073267654) is a healthcare organization registered as a substance abuse rehabilitation facility in Post Falls, Idaho and active in the NPI registry since February 2022. The organization lists Jacob Siegberg, Ceo, as its authorized official.Information from the official NPPES registry record, last updated February 11, 2022.

NPPES Registry Identity

NPI1073267654
Entity TypeOrganization
Legal Business NameNORTH IDAHO DETOX
Location Address1654 E VELORA DRPost Falls, ID 83854-4428
Mailing Address11933 N Emerald DrHayden, ID 83835-9424 · (208) 918-3835
Organization SubpartNo
Authorized OfficialJacob SiegbergCeo · (208) 918-3835
Enumeration DateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
NPI 1073267654 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Substance Abuse Rehabilitation Facility

Taxonomy 324500000X · Residential Treatment Facilities

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with… Show more

Also Listed

Counselor · Addiction (Substance Use Disorder)

Taxonomy 101YA0400X · Behavioral Health & Social Service Providers

Also Listed

Case Management

Taxonomy 251B00000X · Agencies

Also Listed

Clinic/Center · Rehabilitation, Substance Use Disorder

Taxonomy 261QR0405X · Ambulatory Health Care Facilities

1654 E VELORA DR, Post Falls, ID 83854

Also on File with NPPES

Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X MULTIPLE SINGLE SPECIALTY GROUP)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2259150
Facility Type
Other - DRUG & ALCOHOL TREATMENT
Certificate Effective Date
May 03, 2024
Certificate Expiration Date
May 02, 2026
Laboratory Director
JACOB SIEGBERG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Idaho Detox to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073267654, enumerated as an "organization" on February 11, 2022.

The provider is located at 1654 E VELORA DR POST FALLS, ID 83854 and the phone number is (208) 918-3835.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.