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IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR POC
NPI 1225169139
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pocatello, ID

Active since March 09, 2007
421 MEMORIAL DR, POCATELLO, ID 83201(208) 234-7900(208) 236-6328 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR POC (NPI 1225169139) is a healthcare organization registered as a mental health (including community mental health center) in Pocatello, Idaho and active in the NPI registry since March 2007. The organization lists Ed Axford, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1225169139
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR POC
Location Address421 MEMORIAL DRPocatello, ID 83201-4008
Mailing Address421 Memorial DrPocatello, ID 83201-4008 · (208) 234-7900 · Fax (208) 236-6328
Phone(208) 234-7900
Fax(208) 236-6328
Organization SubpartNo
Authorized OfficialEd AxfordProgram Manager · (208) 234-7900
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1225169139 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
421 MEMORIAL DR, Pocatello, ID 83201
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Other Identifiers 3

Other000010019235ID · Blue Shield
Medicaid0028411ID
OtherHW108ID · Blue Cross Of Idaho

Other Providers at the Same Location NPPES 20

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

RACHEL MILLER
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7962
BRAUN INSLEE LMHC, LPC
Counselor (Mental Health)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-2434
MICHELE JOANN OSMOND LCPC
Counselor (Professional)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7917
JESSICA STURMAN
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7939
DANSON S. HALL DPT
Physical Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7928
IDAHO DEPT OF HEALTH & WELFARE ITP REGION 6
Early Intervention Provider Agency
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900
ANNE MILLER LCSW
Social Worker (Clinical)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900
REBECCA L KLINGLER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900

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 6 Amh Psr Poc's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc is 1225169139. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc located?

Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc is located at 421 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 234-7900.

What is Idaho Dept Of Health & Welfare Reg 6 Amh Psr Poc'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 6 Amh Psr Poc 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.