NPI age
19 years
Enumerated 2007-03-01
● Active Type 2 · Organization
Idaho Dept Of Health & Welfare Reg II Amh Grangeville
Idaho Dept Of Health & Welfare Reg II Amh Grangeville is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Malone
Program Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
19 years
↑ 14 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
216 S C St
Grangeville, ID 835301342
Mailing address
Po Box 548
Grangeville, ID 835300548
Authorized official
Vicki R. Malone, MSW
Program Manager
📞 2087994440
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mari Hutchins, DS Developmental Therapist NPI 1093162109
- Tricia Klement Developmental Therapist NPI 1780493163
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | HW264 | BLUE CROSS OF IDAHO |
| 05 (ID) | 8073806 | |
| 01 | 000010018440 | BLUE SHIELD |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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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.