NPI age
19 years
Enumerated 2007-02-08
● Active Type 2 · Organization
Idaho Dept Of Health & Welfare Itp Region 4
Idaho Dept Of Health & Welfare Itp Region 4 is 1 of 15 early intervention provider agency organizations in Idaho.
Primary specialty
Early Intervention Provider Agency
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jones
Program Manager
Last NPPES update
2013-08-05
Source: monthly bulk 2026-05
How this organization compares
Across 15 active early intervention provider agency providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 53% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1720 Westgate Dr, Suite B-2
Boise, ID 837047164
Mailing address
1720 Westgate Dr, Suite B-2
Boise, ID 837047164
Authorized official
Mary J Jones, B.U.S.
Program Manager
📞 2083345523
Specialties
-
Early Intervention Provider Agency PrimaryEarly intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with...
-
Local Education Agency (LEA)The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0028406 | |
| 01 (ID) | 000010019044 | BLUE SHIELD |
| 01 (ID) | HW306 | BLUE CROSS OF IDAHO |
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.