Mountain West Supportive Services

LBN: Mountain West Supportive Services
Mountain West Supportive Services is an health care organization with primary practice located at 1970 E 17Th St Ste 101 , Idaho Falls ID 83404-8046. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Mountain West Supportive Services can be contacted via phone (208) 715-0218, or through Smith, Kalle Stephanie via phone (208) 715-0218.

Contact Information

Primary practice address
1970 E 17Th St Ste 101 Idaho Falls ID 83404-8046
Phone: (208) 715-0218
Fax: (208) 715-0210
Website:
Map and Directions
Authorized official contact:
Name: Smith, Kalle Stephanie LSW
Phone: (208) 715-0218

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1114417029
LBN Legal business name Mountain West Supportive Services
DBA Doing business as
Authorized official Smith, Kalle Stephanie LSW
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2018
Last updated May 16th, 2018 - about 7 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.

Request for update

Popular Providers