P Praxis·MD
● Active Type 2 · Organization

Idaho Dept Of Health & Welfare R5 Amh Cl

Clinic/Center·Twin Falls, ID· NPI 1720119225 · Enumerated 2007 · 19 years on NPI
Idaho Dept Of Health & Welfare R5 Amh Cl is 1 of 93 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-08
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Morton
Field Services Program 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

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
823 Harrison St
Twin Falls, ID 833013925
📞 2087362177
Mailing address
823 Harrison St
Twin Falls, ID 833013925

Authorized official

Duke Morton
Field Services Program Manager
📞 2087362177

Individual providers at this organization

17 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    taxonomy 261QM0850X

Identifiers

TypeValueNotes
01 (ID) 000010025421 BLUESHIELD
01 (ID) HW173 BLUE CROSS
05 (ID) 0028319

Practice context

Multi-provider organization. 17 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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