BHG MEDICAL SERVICES - IDAHO
NPI 1194435123
Clinic/Center - Rehabilitation, Substance Use Disorder in Boise, ID

Q: What is Bhg Lxxxvii, LLC's NPI number?

The NPI number for Bhg Lxxxvii, LLC is 1194435123. It was assigned to this organization in the NPPES registry on November 30, 2022. The provider is doing business as Bhg Medical Services - Idaho.

Q: What is Bhg Lxxxvii, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Q: When was this NPI record last updated?

The NPPES record for Bhg Lxxxvii, LLC was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since November 30, 2022CLIA 13D2306051 · Waiver

92 S COLE RD, OBOT ROOM #100, BOISE, ID 83709(208) 376-5021(208) 376-5020 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Jan 18, 2023, Nov 30, 2022 (3 updates tracked since 2022).

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About Bhg Medical Services - Idaho NPPES

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

BHG MEDICAL SERVICES - IDAHO (NPI 1194435123) is a healthcare organization registered as a rehabilitation, substance use disorder in Boise, Idaho and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Zack Ragsdale, Director, as its authorized official.

NPPES Registry Identity

NPI1194435123

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameBHG LXXXVII, LLC

Location Address92 S COLE RD, OBOT ROOM #100Boise, ID 83709-0930

Mailing Address5001 Spring Valley Road, Suite 600 EastDallas, TX 75244-3946 · (214) 365-6100 · Fax (214) 365-6150

Phone(208) 376-5021

Fax(208) 376-5020

Organization SubpartNo

Authorized OfficialZack RagsdaleDirector · (512) 454-5911

Enumeration DateNovember 30, 2022

Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1194435123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

92 S COLE RD, Boise, ID 83709

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Other Names 1

Doing Business AsBhg Medical Services - Idaho

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2306051

Bhg Lxxxvii Dba Bhg Medical Services - Idaho · Boise, ID

Active · expires Jun 10, 2028

CLIA Number13D2306051

Laboratory TypeOffice Based Opioid Treat

Certificate Effective DateJune 11, 2026

Certificate Expiration DateJune 10, 2028

Laboratory DirectorAlisha Lewis

Laboratory Phone(208) 375-5021

Laboratory LocationBhg Lxxxvii Dba Bhg Medical Services - Idaho92 South Cole Rd Obot Room #109, Boise, ID 83709

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CENTER FOR BEHAVIORAL HEALTH IDAHO, LLC

Community/Behavioral Health

92 S COLE RD
BOISE, ID 83709

Ada County (208) 367-9021

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 Bhg Lxxxvii, LLC's NPI number?

The NPI number for Bhg Lxxxvii, LLC is 1194435123. It was assigned to this organization in the NPPES registry on November 30, 2022. The provider is doing business as Bhg Medical Services - Idaho.

Where is Bhg Lxxxvii, LLC located?

Bhg Lxxxvii, LLC is located at 92 S Cole Rd Obot Room #100, Boise, ID 83709. The listed phone number is (208) 376-5021.

What is Bhg Lxxxvii, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Bhg Lxxxvii, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2306051) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bhg Lxxxvii, LLC was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.