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MOUNTAIN WEST SUPPORTIVE SERVICES
NPI 1114417029
Clinic/Center - Mental Health (Including Community Mental Health Center) in Idaho Falls, ID

Active since May 16, 2018
1970 E 17TH ST STE 101, IDAHO FALLS, ID 83404(208) 715-0218(208) 715-0210 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain West Supportive Services NPPES

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

MOUNTAIN WEST SUPPORTIVE SERVICES (NPI 1114417029) is a healthcare organization registered as a mental health (including community mental health center) in Idaho Falls, Idaho and active in the NPI registry since May 2018. The organization lists Kalle Stephanie Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1114417029
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMOUNTAIN WEST SUPPORTIVE SERVICES
Location Address1970 E 17TH ST STE 101Idaho Falls, ID 83404-8046
Mailing Address1970 E 17th St Ste 101Idaho Falls, ID 83404-8046 · (208) 715-0218 · Fax (208) 715-0210
Phone(208) 715-0218
Fax(208) 715-0210
Organization SubpartNo
Authorized OfficialKalle Stephanie SmithOwner · (208) 715-0218
Enumeration DateMay 16, 2018
✔ NPI 1114417029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCase ManagementTaxonomy 251B00000X
1970 E 17TH ST STE 101, Idaho Falls, ID 83404
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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 Mountain West Supportive Services's NPI number?

The NPI number for Mountain West Supportive Services is 1114417029. It was assigned to this organization in the NPPES registry on May 16, 2018.

Where is Mountain West Supportive Services located?

Mountain West Supportive Services is located at 1970 E 17th St Ste 101, Idaho Falls, ID 83404. The listed phone number is (208) 715-0218.

What is Mountain West Supportive Services'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 Mountain West Supportive Services was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.