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IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC SANDPOINT
NPI 1467589184
Clinic/Center - Adult Mental Health in Ponderay, ID

Active since February 28, 2007
207 LARKSPUR ST, PONDERAY, ID 83852(208) 265-4535(208) 263-4198 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC SANDPOINT (NPI 1467589184) is a healthcare organization registered as an adult mental health in Ponderay, Idaho and active in the NPI registry since February 2007. The organization lists Holly Bonwell, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1467589184
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameIDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC SANDPOINT
Location Address207 LARKSPUR STPonderay, ID 83852-5011
Mailing Address207 Larkspur StPonderay, ID 83852-5011 · (208) 265-4535 · Fax (208) 263-4198
Phone(208) 265-4535
Fax(208) 263-4198
Organization SubpartNo
Authorized OfficialHolly BonwellProgram Manager · (208) 769-1406
Enumeration DateFebruary 28, 2007
Last NPPES UpdateAugust 25, 2016
✔ NPI 1467589184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
207 LARKSPUR ST, Ponderay, ID 83852
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Other Identifiers 3

Medicaid8073679ID
OtherHW256Blue Cross Of Idaho
Other000010018348Blue Shield

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.

ANNA LOUISE LAWRENCE LCSW
Social Worker (Clinical)
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 255-3314
SADIE GREEN
Social Worker (Clinical)
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 255-3334
JOANNA RICHTER
Registered Nurse
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 255-3313
ELIZABETH LARSEN B.S.
Developmental Therapist
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 610-8652
IDAHO DEPT OF HEALTH & WELFARE REG 1 AHM PSR SANDPOINT
Clinic/Center (Mental Health (Including Community Mental Health Center))
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 265-4535
SUSAN HANSEN M.ED.
Developmental Therapist
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 255-3304
CAROL YOUNG LMFT, LPC
Marriage & Family Therapist
207 LARKSPUR ST
PONDERAY, ID 83852
Bonner County (208) 610-5795

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 Clinic Sandpoint's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint is 1467589184. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint located?

Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint is located at 207 Larkspur St, Ponderay, ID 83852. The listed phone number is (208) 265-4535.

What is Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.