IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH CLINIC POC
NPI 1811028889
Clinic/Center - Adult Mental Health in Pocatello, ID

NPI Status: Active since March 08, 2007

Contact Information

421 MEMORIAL DR
POCATELLO, ID
ZIP 83201
Phone: (208) 234-7900
Fax: (208) 236-6328

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH CLINIC POC

This page provides the complete NPI Profile along with additional information for Idaho Dept Of Health & Welfare Reg 6 Amh Clinic Poc, a provider established in Pocatello, Idaho operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1811028889 assigned on March 2007. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ed Axford (Program Manager)

NPI
1811028889
Provider Name
IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH CLINIC POC
Entity Type
Organization
Location Address
421 MEMORIAL DR POCATELLO, ID 83201
Location Phone
(208) 234-7900
Location Fax
(208) 236-6328
Mailing Address
421 MEMORIAL DR POCATELLO, ID 83201
Mailing Phone
(208) 234-7900
Mailing Fax
(208) 236-6328
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2007
Last Update Date
08-22-2020
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ED AXFORD

Authorized Official Title
PROGRAM MANAGER
Authorized Official Phone
(208) 234-7900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0028475MEDICAID (05)ID 
HW108OTHER (01)IDBLUE CROSS OF IDAHO
000010019235OTHER (01)IDBLUE SHIELD

Reviews for IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH CLINIC POC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1811028889, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 0 + 2 + 1 + 6 + 8 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1811028889.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
421 MEMORIAL DR
POCATELLO, ID 83201
Clinic/Center (Adolescent and Children Mental Health)
421 MEMORIAL DR
POCATELLO, ID 83201
Clinic/Center (Rehabilitation)
421 MEMORIAL DR
POCATELLO, ID 83201
Early Intervention Provider Agency
421 MEMORIAL DR
POCATELLO, ID 83201
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Counselor (Professional)
421 MEMORIAL DR
POCATELLO, ID 83201
Registered Nurse (Psychiatric/Mental Health, Adult)
421 MEMORIAL DR
POCATELLO, ID 83201
Registered Nurse (Psychiatric/Mental Health, Adult)
421 MEMORIAL DR
POCATELLO, ID 83201
Social Worker (Clinical)
421 MEMORIAL DR
POCATELLO, ID 83201
Counselor (Mental Health)
421 MEMORIAL DR
POCATELLO, ID 83201
Counselor (Professional)
421 MEMORIAL DR
POCATELLO, ID 83201
Physical Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Social Worker
421 MEMORIAL DR
POCATELLO, ID 83201
Case Management
421 MEMORIAL DR
POCATELLO, ID 83201
Case Management
421 MEMORIAL DR
POCATELLO, ID 83201
Clinic/Center (Mental Health (Including Community Mental Health Center))
421 MEMORIAL DR
POCATELLO, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811028889, enumerated as an "organization" on March 08, 2007.

The provider is located at 421 MEMORIAL DR POCATELLO, ID 83201 and the phone number is (208) 234-7900.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.