NPI age
8 years
Enumerated 2018-05-16
● Active Type 2 · Organization
Mountain West Supportive Services
Mountain West Supportive Services is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Owner
Last NPPES update
2018-05-16
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
8 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 19% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-05Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
1970 E 17th St Ste 101
Idaho Falls, ID 834048046
Mailing address
1970 E 17th St Ste 101
Idaho Falls, ID 834048046
Authorized official
Kalle Stephanie Smith, LSW
Owner
📞 2087150218
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Case ManagementAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.