NPI age
19 years
Enumerated 2007-03-01
● Active Type 2 · Organization
Idahodhwbh3 Payette Cmh Psr
Idahodhwbh3 Payette Cmh Psr is 1 of 32 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hurt
Field Operations Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 32 active clinic/center providers in Idaho.
NPI age
19 years
↑ 1 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
515 16th Ave N
Payette, ID 836612047
Mailing address
515 16th Ave N
Payette, ID 836612047
Authorized official
Todd L Hurt, M.S.
Field Operations Manager
📞 2084557057
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8073442 | |
| 01 | HW348 | BLUE CROSS OF IDAHO |
| 01 | 000010018824 | BLUESHIELD |
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.