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IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR PRES
NPI 1275664583
Clinic/Center - Mental Health (Including Community Mental Health Center) in Preston, ID

Active since March 08, 2007
223 N STATE ST, PRESTON, ID 83263(208) 852-0634(208) 852-2136 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 Pres NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR PRES (NPI 1275664583) is a healthcare organization registered as a mental health (including community mental health center) in Preston, Idaho and active in the NPI registry since March 2007. The organization lists Ed Axford, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1275664583
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR PRES
Location Address223 N STATE STPreston, ID 83263-1140
Mailing Address421 Memorial DrPocatello, ID 83201-4008 · (208) 234-7900 · Fax (208) 236-6328
Phone(208) 852-0634
Fax(208) 852-2136
Organization SubpartNo
Authorized OfficialEd AxfordProgram Manager · (208) 234-7900
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275664583 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
223 N STATE ST, Preston, ID 83263
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Other Identifiers 3

OtherHW108ID · Blue Cross Of Idaho
Other000010019235ID · Blue Shield
Medicaid8073684ID

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 Pres's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Reg 6 Amh Psr Pres is 1275664583. It was assigned to this organization in the NPPES registry on March 8, 2007.

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

Idaho Dept Of Health & Welfare Reg 6 Amh Psr Pres is located at 223 N State St, Preston, ID 83263. The listed phone number is (208) 852-0634.

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