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IDAHO DEPT OF HEALTH & WELFARE REG II CMH MOSCOW
NPI 1720116551
Clinic/Center - Rehabilitation in Moscow, ID

Active since March 01, 2007
1350 TROY HWY, MOSCOW, ID 83543(208) 882-0562(208) 882-8575 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho Dept Of Health & Welfare Reg Ii Cmh Moscow NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REG II CMH MOSCOW (NPI 1720116551) is a healthcare organization registered as a rehabilitation in Moscow, Idaho and active in the NPI registry since March 2007. The organization lists Vicki R. Malone, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1720116551
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameIDAHO DEPT OF HEALTH & WELFARE REG II CMH MOSCOW
Location Address1350 TROY HWYMoscow, ID 83543-3995
Mailing Address1350 Troy HwyMoscow, ID 83543-3995 · (208) 882-0562 · Fax (208) 882-8575
Phone(208) 882-0562
Fax(208) 882-8575
Organization SubpartNo
Authorized OfficialVicki R. MaloneProgram Manager · (208) 799-4440
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720116551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
1350 TROY HWY, Moscow, ID 83543
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Other Identifiers 3

Other000010018450Blue Shield
Medicaid8073500ID
OtherHW140Blue Cross Of Idaho

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 II Cmh Moscow's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Reg II Cmh Moscow is 1720116551. It was assigned to this organization in the NPPES registry on March 1, 2007.

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

Idaho Dept Of Health & Welfare Reg II Cmh Moscow is located at 1350 Troy Hwy, Moscow, ID 83543. The listed phone number is (208) 882-0562.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Idaho Dept Of Health & Welfare Reg II Cmh Moscow 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.