STATE HOSPITAL WEST
NPI 1538744826
Psychiatric Hospital in Nampa, ID

Active since March 17, 2021CLIA 13D2218119 · Waiver
1652 11TH AVENUE NORTH, NAMPA, ID 83687(208) 606-7777 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2024, Mar 17, 2021 (2 updates tracked since 2021).

  • Organization
  • Psychiatric Hospital
  • CLIA Number: 13D2218119
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-24-2027

About STATE HOSPITAL WEST

This page provides the complete NPI Profile along with additional information for State Hospital West, a provider established in Nampa, Idaho operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1538744826 assigned on March 2021. The practitioner's primary taxonomy code is 283Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as State Hospital West. The authorized official of this NPI record is Gina Westcott (Hospital Administrator)

NPI
1538744826 Verify this NPI
Provider Legal Name
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Other Organization Name
STATE HOSPITAL WEST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1652 11TH AVENUE NORTH NAMPA, ID 83687
Location Phone
(208) 606-7777
Mailing Address
1652 11TH AVENUE NORTH NAMPA, ID 83687
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-17-2021
Last Update Date
06-12-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
Hospitals
Taxonomy Description
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GINA WESTCOTT

Authorized Official Title
HOSPITAL ADMINISTRATOR
Authorized Official Phone
(208) 606-7777

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2218119
Facility Type
Hospital
Certificate Effective Date
March 25, 2025
Certificate Expiration Date
March 24, 2027
Laboratory Director
TAMARA HELFER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to State Hospital West to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for STATE HOSPITAL WEST

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538744826, enumerated as an "organization" on March 17, 2021.

The provider is located at 1652 11TH AVENUE NORTH NAMPA, ID 83687 and the phone number is (208) 606-7777.

Psychiatric Hospital with taxonomy code 283Q00000X.