IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR PRES - NPI 1275664583

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

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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

What is IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR PRES's NPI number?

The NPI number assigned to this healthcare provider is 1275664583, enumerated as an "organization" on March 08, 2007.

Where is the provider located?

The provider is located at 223 N STATE ST PRESTON, ID 83263 and the phone number is (208) 852-0634.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

What insurance does IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR PRES accept?

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.