NPI age
19 years
Enumerated 2007-02-28
● Active Type 2 · Organization
Idahodhwbh Payettamhclinic
Idahodhwbh Payettamhclinic 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
Hurt
Field Operations Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 93 active clinic/center providers in Idaho.
NPI age
19 years
↑ 13 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
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 PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010027633 | BLUESHIELD |
| 01 (ID) | HW298 | BLUE CROSS OF IDAHO |
| 05 (ID) | 8073592 |
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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