IDAHO DEPT OF HEALTH & WELFARE REG 7 AMH BF
NPI 1114058179
Clinic/Center - Mental Health (Including Community Mental Health Center) in Blackfoot, ID

Active since March 08, 2007
720 E ALICE, BLACKFOOT, ID 83221(208) 785-5871(208) 785-5877 Get Directions Write a Review

NPPES record last updated: August 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho Dept Of Health & Welfare Reg 7 Amh Bf NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REG 7 AMH BF (NPI 1114058179) is a healthcare organization registered as a mental health (including community mental health center) in Blackfoot, Idaho and active in the NPI registry since March 2007. The organization lists Randy Rodriquez, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1114058179
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIDAHO DEPT OF HEALTH & WELFARE REG 7 AMH BF
Location Address720 E ALICEBlackfoot, ID 83221-0129
Mailing Address720 E Alice Po Box 129Blackfoot, ID 83221-0129 · (208) 785-5871 · Fax (208) 785-5877
Fax(208) 785-5877
Organization SubpartNo
Authorized OfficialRandy RodriquezProgram Manager · (208) 528-5700
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 10, 2010
NPI 1114058179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
720 E ALICE, Blackfoot, ID 83221

Other Identifiers 3

OtherHW181ID · Blue Cross
Other000010019479ID · Blue Shield
Medicaid8073683ID

Other Providers at the Same Location NPPES

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

Clinic/Center (Rehabilitation)
720 E ALICE
BLACKFOOT, ID 83221

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 Idaho Dept Of Health & Welfare Reg 7 Amh Bf's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Reg 7 Amh Bf is 1114058179. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Idaho Dept Of Health & Welfare Reg 7 Amh Bf located?

Idaho Dept Of Health & Welfare Reg 7 Amh Bf is located at 720 E Alice, Blackfoot, ID 83221. The listed phone number is (208) 785-5871.

What is Idaho Dept Of Health & Welfare Reg 7 Amh Bf's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Idaho Dept Of Health & Welfare Reg 7 Amh Bf was last updated on August 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.