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IDAHO DEPT OF HEALTH & WELFARE AMH PSR MT HOME
NPI 1720118904
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mountain Home, ID

Active since March 06, 2007
2420 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647(208) 587-9061(208) 587-5024 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 Amh Psr Mt Home NPPES

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

IDAHO DEPT OF HEALTH & WELFARE AMH PSR MT HOME (NPI 1720118904) is a healthcare organization registered as a mental health (including community mental health center) in Mountain Home, Idaho and active in the NPI registry since March 2007. The organization lists Gina Westcott, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1720118904
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIDAHO DEPT OF HEALTH & WELFARE AMH PSR MT HOME
Location Address2420 AMERICAN LEGION BLVDMountain Home, ID 83647-3146
Mailing Address1720 Westgate Dr, Suite B-1Boise, ID 83704-7164 · (208) 334-0894 · Fax (208) 334-0804
Phone(208) 587-9061
Fax(208) 587-5024
Organization SubpartNo
Authorized OfficialGina WestcottProgram Manager · (208) 334-0969
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720118904 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
2420 AMERICAN LEGION BLVD, Mountain Home, ID 83647
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Other Identifiers 3

Medicaid8073418ID
Other000010018973Blue Shield
OtherHW280Blue Cross Of Idaho

Other Providers at the Same Location NPPES 4

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

JAYSA MARIE PILANT LMSW
Social Worker (Clinical)
2420 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Elmore County (208) 580-9525
IDAHO BEHAVIORAL HEALTH, INC.
Family Medicine
2420 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Elmore County (208) 580-9525
TIAHNA E FAIRBANKS BA
Developmental Therapist
2420 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Elmore County (208) 890-6420
IDAHO DEPT OF HEALTH & WELFARE AMH CLINIC MH
Clinic/Center (Adult Mental Health)
2420 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-9061

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 Amh Psr Mt Home's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Amh Psr Mt Home is 1720118904. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Idaho Dept Of Health & Welfare Amh Psr Mt Home located?

Idaho Dept Of Health & Welfare Amh Psr Mt Home is located at 2420 American Legion Blvd, Mountain Home, ID 83647. The listed phone number is (208) 587-9061.

What is Idaho Dept Of Health & Welfare Amh Psr Mt Home'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 Amh Psr Mt Home 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.