Idaho Psychiatric Institute

LBN: Idaho Psychiatric Institute
Idaho Psychiatric Institute is an health care organization with primary practice located at 1975 Martha Ave , Idaho Falls ID 83404-7580. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as the primary health care specialty. Idaho Psychiatric Institute can be contacted via phone (208) 529-4300, or through Thurber, Shawn via phone (208) 529-4300.

Contact Information

Primary practice address
1975 Martha Ave Idaho Falls ID 83404-7580
Phone: (208) 529-4300
Fax: (208) 529-1627
Website:
Map and Directions
Authorized official contact:
Name: Thurber, Shawn PH.D., LMFT
Phone: (208) 529-4300

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT965 Idaho

Profile Details

NPI number 1285959908
LBN Legal business name Idaho Psychiatric Institute
DBA Doing business as
Authorized official Thurber, Shawn PH.D., LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2010
Last updated Apr 6th, 2010 - about 16 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 1285959908 NPPES
Idaho MEDICAID 808091400
Idaho MEDICAID 808091300

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