NPI age
20 years
Enumerated 2005-12-01
● Active Type 2 · Organization
State Of Idaho Department Of Health And Welfare
State Of Idaho Department Of Health And Welfare is 1 of 20 psychiatric hospital organizations in Idaho.
Primary specialty
Psychiatric Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sessions
Hospital Administrator
Last NPPES update
2013-05-08
Source: monthly bulk 2026-05
How this organization compares
Across 20 active psychiatric hospital providers in Idaho.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-12Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
700 East Alice, Box 400
Blackfoot, ID 83221
Mailing address
700 E Alice St, Po Box 400
Blackfoot, ID 832214925
Authorized official
Tracey G. Sessions
Hospital Administrator
📞 2087858402
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Daniel Harrison, PHARM. D. Pharmacist NPI 1013132471
Specialties
-
Psychiatric Hospital PrimaryAn organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 00844 | BLUE CROSS OF IDAHO |
| 05 (ID) | 002821500 | |
| 01 (ID) | 20315 | REGENCE BLUE SHIELD OF ID |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
State Hospital South
Practice context
Multi-provider organization. 1 individual provider 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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