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

Active since March 08, 2007
421 MEMORIAL DR, POCATELLO, ID 83201(208) 234-7900(208) 236-6328 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 6 Amh Clinic Poc NPPES

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

IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH CLINIC POC (NPI 1811028889) is a healthcare organization registered as an adult mental health in Pocatello, Idaho and active in the NPI registry since March 2007. The organization lists Ed Axford, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1811028889
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameIDAHO DEPT OF HEALTH & WELFARE REG 6 AMH CLINIC POC
Location Address421 MEMORIAL DRPocatello, ID 83201-4008
Mailing Address421 Memorial DrPocatello, ID 83201-4008 · (208) 234-7900 · Fax (208) 236-6328
Phone(208) 234-7900
Fax(208) 236-6328
Organization SubpartNo
Authorized OfficialEd AxfordProgram Manager · (208) 234-7900
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811028889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
421 MEMORIAL DR, Pocatello, ID 83201
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Other Identifiers 3

Medicaid0028475ID
OtherHW108ID · Blue Cross Of Idaho
Other000010019235ID · Blue Shield

Other Providers at the Same Location NPPES 20

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

RACHEL MILLER
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7962
BRAUN INSLEE LMHC, LPC
Counselor (Mental Health)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-2434
MICHELE JOANN OSMOND LCPC
Counselor (Professional)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7917
JESSICA STURMAN
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7939
DANSON S. HALL DPT
Physical Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7928
IDAHO DEPT OF HEALTH & WELFARE ITP REGION 6
Early Intervention Provider Agency
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900
ANNE MILLER LCSW
Social Worker (Clinical)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900
IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR POC
Clinic/Center (Mental Health (Including Community Mental Health Center))
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900

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 6 Amh Clinic Poc's NPI number?

The NPI number for Idaho Dept Of Health & Welfare Reg 6 Amh Clinic Poc is 1811028889. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Idaho Dept Of Health & Welfare Reg 6 Amh Clinic Poc located?

Idaho Dept Of Health & Welfare Reg 6 Amh Clinic Poc is located at 421 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 234-7900.

What is Idaho Dept Of Health & Welfare Reg 6 Amh Clinic Poc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Idaho Dept Of Health & Welfare Reg 6 Amh Clinic Poc 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.