STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
NPI 1992789101
Psychiatric Hospital in Blackfoot, ID

Q: What is State Of Idaho Department Of Health And Welfare's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Active since December 01, 2005

700 EAST ALICE, BOX 400, BLACKFOOT, ID 83221(208) 785-1200(208) 785-8518 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About State Of Idaho Department Of Health And Welfare NPPES

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

STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE (NPI 1992789101) is a healthcare organization registered as a psychiatric hospital in Blackfoot, Idaho and active in the NPI registry since December 2005. The organization lists Abbe Fisher, Financial Specilist Sr, as its authorized official.

NPPES Registry Identity

NPI1992789101

Entity TypeOrganization

Primary Taxonomy283Q00000X

Legal Business NameSTATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE

Location Address700 EAST ALICE, BOX 400Blackfoot, ID 83221

Mailing Address700 E Alice St, Po Box 400Blackfoot, ID 83221-4925 · (208) 785-1200 · Fax (208) 785-8518

Phone(208) 785-1200

Fax(208) 785-8518

Organization SubpartNo

Authorized OfficialAbbe FisherFinancial Specilist Sr · (208) 782-9938

Enumeration DateDecember 1, 2005

Last NPPES UpdateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1992789101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals

Taxonomy Code283Q00000X

License✔ Licensed in ID · #17

Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

700 EAST ALICE, Blackfoot, ID 83221

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Other Names 1

Other NameState Hospital South

Other Identifiers 3

Other00844ID · Blue Cross Of Idaho

Medicaid002821500ID

Other20315ID · Regence Blue Shield Of Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

State Of Idaho Department Of Health And Welfare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIdahoEnrollment IDO20110217000668Part A · HospitalDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for State Hospital South (CMS certification number 134010), from CMS Care Compare.

State Hospital South

Psychiatric · Blackfoot, ID

OwnershipGovernment - State

CMS Certification Number134010

Location700 East Alice StreetBlackfoot, ID 83221 · Bingham County · (208) 785-1200

Other Providers at the Same Location NPPES 3

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

DR. DANIEL BART HARRISON PHARM. D.

Pharmacist

700 EAST ALICE
BLACKFOOT, ID 83221

Bingham County (208) 785-8433

STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE

Psychologist

700 EAST ALICE
BLACKFOOT, ID 83221

Bingham County (208) 785-8462

STATE OF IDAHO

Clinical Medical Laboratory

700 EAST ALICE
BLACKFOOT, ID 83221

Bingham County (208) 785-8429

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 State Of Idaho Department Of Health And Welfare's NPI number?

The NPI number for State Of Idaho Department Of Health And Welfare is 1992789101. It was assigned to this organization in the NPPES registry on December 1, 2005. The provider is also known as State Hospital South.

Where is State Of Idaho Department Of Health And Welfare located?

State Of Idaho Department Of Health And Welfare is located at 700 East Alice Box 400, Blackfoot, ID 83221. The listed phone number is (208) 785-1200.

What is State Of Idaho Department Of Health And Welfare's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is State Of Idaho Department Of Health And Welfare enrolled in Medicare?

Yes. State Of Idaho Department Of Health And Welfare is registered in the Medicare PECOS enrollment system.

When is State Of Idaho Department Of Health And Welfare's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Idaho, Hospital) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Is State Of Idaho Department Of Health And Welfare a Medicare-certified hospital?

Yes. State Hospital South is a Medicare-certified hospital (Psychiatric).

What insurance does State Of Idaho Department Of Health And Welfare accept?

Health plans from Molina Healthcare list State Of Idaho Department Of Health And Welfare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Of Idaho Department Of Health And Welfare was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.