IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR ST MARIES
NPI 1144357369
Clinic/Center - Mental Health (Including Community Mental Health Center) in St Maries, ID

Active since February 27, 2007
222 S 7TH ST, ST MARIES, ID 83861(208) 245-2541(208) 245-7131 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR ST MARIES (NPI 1144357369) is a healthcare organization registered as a mental health (including community mental health center) in St Maries, Idaho and active in the NPI registry since February 2007. The organization lists Cora Jo Gussenhoven, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1144357369
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR ST MARIES
Location Address222 S 7TH STSt Maries, ID 83861-1847
Mailing AddressPo Box 248St Maries, ID 83861-0248 · (208) 245-2541 · Fax (208) 245-7131
Fax(208) 245-7131
Organization SubpartNo
Authorized OfficialCora Jo GussenhovenProgram Manager · (208) 769-1406
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1144357369 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
222 S 7TH ST, St Maries, ID 83861

Other Identifiers 3

OtherHW256Blue Cross Of Idaho
Other000010018348Blue Shield
Medicaid8073519ID

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 (Adult Mental Health)
222 S 7TH ST
ST MARIES, ID 83861

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 1 Amh Psr St Maries's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries is 1144357369. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries located?

Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries is located at 222 S 7th St, St Maries, ID 83861. The listed phone number is (208) 245-2541.

What is Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries'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 1 Amh Psr St Maries was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.