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IDAHO DEPT OF HEALTH & WELFARE REG 2 CMH
NPI 1639476294
Clinic/Center - Adolescent and Children Mental Health in Moscow, ID

Active since February 17, 2011
1350 TROY HIGHWAY, MOSCOW, ID 83843(208) 882-0562 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Dept Of Health & Welfare Reg 2 Cmh NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REG 2 CMH (NPI 1639476294) is a healthcare organization registered as an adolescent and children mental health in Moscow, Idaho and active in the NPI registry since February 2011. The organization lists Vicki Malone, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1639476294
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameIDAHO DEPT OF HEALTH & WELFARE REG 2 CMH
Location Address1350 TROY HIGHWAYMoscow, ID 83843-3995
Mailing Address1350 Troy HighwayMoscow, ID 83843-3995 · (208) 882-0562
Phone(208) 882-0562
Organization SubpartNo
Authorized OfficialVicki MaloneProgram Manager · (208) 799-4440
Enumeration DateFebruary 17, 2011
✔ NPI 1639476294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
1350 TROY HIGHWAY, Moscow, ID 83843
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Other Identifiers 2

OtherHW140ID · Blue Cross
Other000010018450ID · Blue Shield

Other Providers at the Same Location NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REG 2 AMH
Clinic/Center (Adult Mental Health)
1350 TROY HIGHWAY
MOSCOW, ID 83843
Latah County (208) 882-0562

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 2 Cmh's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Reg 2 Cmh is 1639476294. It was assigned to this organization in the NPPES registry on February 17, 2011.

Where is Idaho Dept Of Health & Welfare Reg 2 Cmh located?

Idaho Dept Of Health & Welfare Reg 2 Cmh is located at 1350 Troy Highway, Moscow, ID 83843. The listed phone number is (208) 882-0562.

What is Idaho Dept Of Health & Welfare Reg 2 Cmh's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Idaho Dept Of Health & Welfare Reg 2 Cmh was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.