| Idaho Dept Of Health & Welfare Region 7 Amh Psr If | |
|
150 Shoup Ave Suite 17 Idaho Falls ID 83402-3657 | |
| (208) 528-5700 | |
| (208) 528-5747 |
| Full Name | Idaho Dept Of Health & Welfare Region 7 Amh Psr If |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 150 Shoup Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | Melissa M Bean (PROGRAM MANAGER) |
| Authorized Official Contact | 2085285706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Dept Of Health & Welfare Region 7 Amh Psr If 150 Shoup Ave Suite 17 Idaho Falls ID 83402-3657 Ph: (208) 528-5700 | Idaho Dept Of Health & Welfare Region 7 Amh Psr If 150 Shoup Ave Suite 17 Idaho Falls ID 83402-3657 Ph: (208) 528-5700 |
| NPI Number | 1275669152 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275669152 | NPI | - | NPPES |
| HW181 | Other | BLUE CROSS OF IDAHO | |
| 000010019479 | Other | BLUE SHIELD | |
| 0028410 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Sullivan Mental Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-523-1558 Fax: 208-529-4788 | |
Youth And Family Renewal Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2935 Rollandet St, Idaho Falls, ID 83402 Phone: 208-542-2905 Fax: 208-522-2427 | |
Independence, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 N Skyline Dr, Ste. A, Idaho Falls, ID 83402 Phone: 208-524-0881 Fax: 208-524-0886 | |
Life Quest Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 1st St, Idaho Falls, ID 83401 Phone: 208-529-2920 | |
Access Point Family Sevices Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 Channing Way, Idaho Falls, ID 83404 Phone: 208-522-4026 Fax: 208-522-4138 | |
Integrated Family & Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3355 S Holmes Ave, Idaho Falls, ID 83404 Phone: 208-523-2080 Fax: 208-523-2799 | |
Childrens Supportive Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1565 E Lincoln Rd, Idaho Falls, ID 83401 Phone: 208-524-8996 Fax: 208-524-1205 |