NPI age
7 years
Enumerated 2018-08-18
● Active Type 2 · Organization
Lost River Wellness
Lost River Wellness is 1 of 93 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brown
Chief Business Officer
Last NPPES update
2018-11-28
Source: monthly bulk 2026-05
How this organization compares
Across 93 active clinic/center providers in Idaho.
NPI age
7 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-08Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
3080 E Gentry Way Ste 100
Meridian, ID 836423060
Mailing address
3080 E Gentry Way Ste 100
Meridian, ID 836423060
Authorized official
Jeff Brown
Chief Business Officer
📞 2084841447
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Lost River Wellness
-
Lost River Wellness
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.