High Country Behavioral Health | |
1248 E 17th St Idaho Falls ID 83404-6147 | |
(208) 542-1026 | |
Not Available |
Full Name | High Country Behavioral Health |
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Speciality | Clinic/Center |
Location | 1248 E 17th St, Idaho Falls, Idaho |
Authorized Official Name and Position | Kipp Dana (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3078859883 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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High Country Behavioral Health Po Box 376 Afton WY 83110-0376 Ph: () - | High Country Behavioral Health 1248 E 17th St Idaho Falls ID 83404-6147 Ph: (208) 542-1026 |
NPI Number | 1295379865 |
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Provider Enumeration Date | 11/06/2019 |
Last Update Date | 03/10/2023 |
Medicare PECOS PAC ID | 0648454587 |
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Medicare Enrollment ID | O20200228002021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295379865 | NPI | - | NPPES |
Provider Name | Ronald K Sebreros |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386901627 PECOS PAC ID: 2062738792 Enrollment ID: I20150224000703 |
Provider Name | Kelly Marie Mcmurtrey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356656441 PECOS PAC ID: 6103143441 Enrollment ID: I20150325000503 |
Provider Name | Suzanne Elaine Brown |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881963841 PECOS PAC ID: 3375859176 Enrollment ID: I20150824002229 |
Provider Name | Shaylene Peninger |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841539996 PECOS PAC ID: 0941590483 Enrollment ID: I20160613000473 |
Provider Name | Vernon Robert Kubiak |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538576491 PECOS PAC ID: 9931482064 Enrollment ID: I20170215000492 |
Provider Name | Jenny Decker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497281067 PECOS PAC ID: 8426326158 Enrollment ID: I20180126001789 |
Provider Name | Brian Brimhall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245796101 PECOS PAC ID: 6103168745 Enrollment ID: I20190430002048 |
Provider Name | Mark Barry Bennett |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306273784 PECOS PAC ID: 2860820727 Enrollment ID: I20200309000520 |
Provider Name | Cherity Woolf |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093112120 PECOS PAC ID: 2365869955 Enrollment ID: I20200827001529 |
Provider Name | Brandi Warnke |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750847786 PECOS PAC ID: 3072940196 Enrollment ID: I20210927002094 |
Provider Name | Elizabeth Albarez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881055481 PECOS PAC ID: 8729499553 Enrollment ID: I20220404001691 |
Provider Name | Kelsey Marie Denison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457002990 PECOS PAC ID: 4587043732 Enrollment ID: I20220620000740 |
Provider Name | Spencer Weston |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326487794 PECOS PAC ID: 8729220280 Enrollment ID: I20220804003249 |
Provider Name | Valerie Erickson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619651452 PECOS PAC ID: 7810350808 Enrollment ID: I20230823002917 |
Provider Name | Shayna Norton |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1023600582 PECOS PAC ID: 1850741919 Enrollment ID: I20240102002006 |
Provider Name | Cody Michael Pickett |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871367821 PECOS PAC ID: 2860842960 Enrollment ID: I20240102003538 |
Provider Name | Suzanne Diana Hughes |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063170710 PECOS PAC ID: 2264882208 Enrollment ID: I20240103001188 |
Provider Name | David Tim Williams |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750803110 PECOS PAC ID: 2567814452 Enrollment ID: I20240116003575 |
Provider Name | David Bills |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1154696748 PECOS PAC ID: 1153773809 Enrollment ID: I20240117004702 |
Provider Name | Ashley Bringhurst |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1124468483 PECOS PAC ID: 0941644934 Enrollment ID: I20240218000087 |
Shane G Machen, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 E 17th St Ste A, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 | |
Physician Skin Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 | |
Family First Medical Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3614 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-552-7700 Fax: 208-552-1783 | |
Imed Hrs Idaho Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 801-507-3500 | |
Neville Spinal Balance Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2145 West Broadway Street, Idaho Falls, ID 83402 Phone: 208-522-3130 | |
R.k. Arbon, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 116, Idaho Falls, ID 83404 Phone: 208-529-0575 Fax: 208-528-0223 | |
Idaho Falls Family & Sports Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3360 Washington Pkwy, Suite 1, Idaho Falls, ID 83404 Phone: 208-524-3416 Fax: 208-524-3138 |