Organization · Type 2 NPI
State of Idaho Department of Health and Welfare
Psychiatric Hospital · Blackfoot, ID
NPI number
1992789101
Active
Practice location
700 East Alice, Box 400
Blackfoot, ID 83221
Fax (208) 785-8518
Mailing address
700 E Alice St, PO Box 400
Blackfoot, ID 83221-4925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric Hospital Primary | 283Q00000X | #17 (ID) |
Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
3 other providers at this address
About NPI 1992789101
State of Idaho Department of Health and Welfare's National Provider Identifier is 1992789101, issued on Dec 1, 2005. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Blackfoot, ID. The record was last updated on Jun 24, 2026.