IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC REXBURG
NPI 1447386867
Clinic/Center - Adolescent and Children Mental Health in Rexburg, ID

NPI Status: Active since February 27, 2007

Contact Information

333 WALKER DR
REXBURG, ID
ZIP 83440
Phone: (208) 359-4751
Fax: (208) 356-5461

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC REXBURG

This page provides the complete NPI Profile along with additional information for Idaho Dept Of Health & Welfare Region 7 Cmh Clinic Rexburg, a provider established in Rexburg, Idaho operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1447386867 assigned on February 2007. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Melissa M Bean Ma (Program Manager)

NPI
1447386867
Provider Name
IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC REXBURG
Entity Type
Organization
Location Address
333 WALKER DR REXBURG, ID 83440
Location Phone
(208) 359-4751
Location Fax
(208) 356-5461
Mailing Address
333 WALKER DR REXBURG, ID 83440
Mailing Phone
(208) 359-4751
Mailing Fax
(208) 356-5461
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2007
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 Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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

MRS. MELISSA M BEAN MA

Authorized Official Title
PROGRAM MANAGER
Authorized Official Phone
(208) 528-5706

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
8074323MEDICAID (05)ID 
000010019677OTHER (01)BLUE SHIELD
HW157OTHER (01)BLUE CROSS OF IDAHO

Reviews for IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC REXBURG

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447386867
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24876812812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 6 + 8 + 1 + 2 + 8 + 1 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1447386867 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639539786MRS. SADIE N. EVANS B.S. ECSE
Individual
Specialist333 WALKER DR
REXBURG, ID 83440
(208) 359-4783
1235591298 JUDY NELSON
Individual
Social Worker333 WALKER DR
REXBURG, ID 83440
(208) 359-4780
1831551894 MELISSA CLINGER
Individual
Social Worker333 WALKER DR
REXBURG, ID 83440
(208) 359-4781
1306209101 LINDA I PRICE LSW
Individual
Social Worker333 WALKER DR
REXBURG, ID 83440
(208) 705-5437
1245694298 KIMBERLY CLARK
Individual
Social Worker333 WALKER DR
REXBURG, ID 83440
(208) 359-4764
1316073190IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR REXBURG
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))333 WALKER DR
REXBURG, ID 83440
(208) 359-4751
1508992926IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH PSR REXBURG
Organization
Clinic/Center (Rehabilitation)333 WALKER DR
REXBURG, ID 83440
(208) 359-4751

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447386867, enumerated in the NPI registry as an "organization" on February 27, 2007

The provider is located at 333 Walker Dr Rexburg, Id 83440 and the phone number is (208) 359-4751

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children 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 make sure your health plan is currently accepted.

This NPI record was last updated on February 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.