P Praxis·MD
● Active Type 2 · Organization

Idaho Dept Of Health & Welfare Region 7 Cmh Psr Rexburg

Clinic/Center·Rexburg, ID· NPI 1508992926 · Enumerated 2007 · 19 years on NPI
Idaho Dept Of Health & Welfare Region 7 Cmh Psr Rexburg is 1 of 32 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2007-02-27
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bean
Program Manger
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

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
333 Walker Dr
Rexburg, ID 834401657
📞 2083594751fax 2083595461
Mailing address
333 Walker Dr
Rexburg, ID 834401657
📞 2083594751fax 2083595461

Authorized official

Melissa M Bean, MA
Program Manger
📞 2085285706

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QR0400X

Identifiers

TypeValueNotes
01 000010019677 BLUE SHIELD
05 (ID) 8073802
01 HW157 BLUE CROSS OF IDAHO

Practice context

Multi-provider organization. 5 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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