NPI age
15 years
Enumerated 2011-02-17
● Active Type 2 · Organization
Idaho Dept Of Health & Welfare Reg 2 Cmh
Idaho Dept Of Health & Welfare Reg 2 Cmh is 1 of 37 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
2011-02-17
Source: monthly bulk 2026-05
How this organization compares
Across 37 active clinic/center providers in Idaho.
NPI age
15 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-02Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1350 Troy Highway
Moscow, ID 838433995
Mailing address
1350 Troy Highway
Moscow, ID 838433995
Authorized official
Vicki Malone
Program Manager
📞 2087994440
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 children and adolescents. Services may be provided to parents and family...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010018450 | BLUE SHIELD |
| 01 (ID) | HW140 | BLUE CROSS |
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.