Youth And Family Renewal Services

LBN: Ashton Memorial, Inc.
Youth And Family Renewal Services is an health care organization with primary practice located at 2935 Rollandet St , Idaho Falls ID 83402-4654. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Ashton Memorial, Inc. can be contacted via phone (208) 542-2905, or through Kellogg, Sheila via phone (208) 652-7461.

Contact Information

Primary practice address
2935 Rollandet St Idaho Falls ID 83402-4654
Phone: (208) 542-2905
Fax: (208) 522-2427
Website:
Map and Directions
Authorized official contact:
Name: Kellogg, Sheila
Phone: (208) 652-7461

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1003907163
LBN Legal business name Ashton Memorial, Inc.
DBA Doing business as Youth And Family Renewal Services
Authorized official Kellogg, Sheila
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003907163 NPPES
Idaho MEDICAID 805100400
Idaho MEDICAID 807641700
Idaho MEDICAID 807195500
Idaho MEDICAID 807361800

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