IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR REXBURG - NPI 1316073190

Q: What is Idaho Dept Of Health & Welfare Region 7 Amh Psr Rexburg'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.

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About Idaho Dept Of Health & Welfare Region 7 Amh Psr Rexburg NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR REXBURG (NPI 1316073190) is a healthcare organization registered as a mental health (including community mental health center) in Rexburg, Idaho and active in the NPI registry since February 2007. The organization lists Melissa M Bean, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1316073190

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameIDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR REXBURG

Location Address333 WALKER DRRexburg, ID 83440-1657

Mailing Address333 Walker DrRexburg, ID 83440-1657 · (208) 359-4751 · Fax (208) 356-5461

Phone(208) 359-4751

Fax(208) 356-5461

Organization SubpartNo

Authorized OfficialMelissa M BeanProgram Manager · (208) 528-5706

Enumeration DateFebruary 26, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1316073190 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

333 WALKER DR, Rexburg, ID 83440

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Other Identifiers 3

Medicaid8073446ID

Other000010019479Blue Shield

OtherHW181Blue Cross Of Idaho

Other Providers at the Same Location NPPES 7

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

JUDY NELSON

Social Worker