IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR BONNERS FERRY
NPI 1376670091
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bonners Ferry, ID

Q: What is Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry'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.

Active since February 28, 2007

RT 4 6522 TAMARACK LN, BONNERS FERRY, ID 83805(208) 267-3187(208) 267-3251 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR BONNERS FERRY (NPI 1376670091) is a healthcare organization registered as a mental health (including community mental health center) in Bonners Ferry, Idaho and active in the NPI registry since February 2007. The organization lists Cora Jo Gussenhoven, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1376670091

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameIDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR BONNERS FERRY

Location AddressRT 4 6522 TAMARACK LNBonners Ferry, ID 83805-9805

Mailing AddressRt 4 6522 Tamarack LnBonners Ferry, ID 83805-9805 · (208) 267-3187 · Fax (208) 267-3251

Phone(208) 267-3187

Fax(208) 267-3251

Organization SubpartNo

Authorized OfficialCora Jo GussenhovenProgram Manager · (208) 769-1406

Enumeration DateFebruary 28, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1376670091 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

RT 4 6522 TAMARACK LN, Bonners Ferry, ID 83805

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Other Identifiers 3

OtherHW256Blue Cross Of Idaho

Other000010018348Blue Shield

Medicaid8073521ID

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 1 Amh Psr Bonners Ferry's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry is 1376670091. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry located?

Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry is located at Rt 4 6522 Tamarack Ln, Bonners Ferry, ID 83805. The listed phone number is (208) 267-3187.

What is Idaho Dept Of Health & Welfare Reg 1 Amh Psr Bonners Ferry'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 1 Amh Psr Bonners Ferry 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.