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IDAHODHWBH3 PAYETTE CMH PSR
NPI 1154459444
Clinic/Center - Rehabilitation in Payette, ID

Active since March 01, 2007
515 16TH AVE N, PAYETTE, ID 83661(208) 642-6416(208) 642-2829 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idahodhwbh3 Payette Cmh Psr NPPES

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

IDAHODHWBH3 PAYETTE CMH PSR (NPI 1154459444) is a healthcare organization registered as a rehabilitation in Payette, 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

NPI1154459444
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameIDAHODHWBH3 PAYETTE CMH PSR
Location Address515 16TH AVE NPayette, ID 83661-2047
Mailing Address515 16th Ave NPayette, ID 83661-2047 · (208) 642-6416 · Fax (208) 642-2829
Phone(208) 642-6416
Fax(208) 642-2829
Organization SubpartNo
Authorized OfficialTodd L HurtField Operations Manager · (208) 455-7057
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154459444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
515 16TH AVE N, Payette, ID 83661
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Other Identifiers 3

Medicaid8073442ID
Other000010018824Blueshield
OtherHW348Blue Cross Of Idaho

Other Providers at the Same Location NPPES 3

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

IDAHODHWBH PAYETTAMHCLINIC
Clinic/Center (Adult Mental Health)
515 16TH AVE N
PAYETTE, ID 83661
Payette County (208) 642-6416
IDAHODHWBH3 PAYETTE AMH PSR
Clinic/Center (Mental Health (Including Community Mental Health Center))
515 16TH AVE N
PAYETTE, ID 83661
Payette County (208) 642-6416
IDAHO DEPT OF HEALTH & WELFARE
Clinic/Center (Adolescent and Children Mental Health)
515 16TH AVE N
PAYETTE, ID 83661
Payette County (208) 642-6412

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 Payette Cmh Psr's NPI number?

The NPI number for Idahodhwbh3 Payette Cmh Psr is 1154459444. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Idahodhwbh3 Payette Cmh Psr located?

Idahodhwbh3 Payette Cmh Psr is located at 515 16th Ave N, Payette, ID 83661. The listed phone number is (208) 642-6416.

What is Idahodhwbh3 Payette 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 Payette 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.