P Praxis·MD
● Active Type 2 · Organization

State Of Idaho Department Of Health And Welfare

Psychiatric Hospital·Blackfoot, ID· NPI 1992789101 · Enumerated 2005 · 20 years on NPI
State Of Idaho Department Of Health And Welfare is 1 of 20 psychiatric hospital organizations in Idaho.
NPI age
20 years
Enumerated 2005-12-01
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
📞 2087851200fax 2087858518
Mailing address
700 E Alice St, Po Box 400
Blackfoot, ID 832214925
📞 2087851200fax 2087858518

Authorized official

Tracey G. Sessions
Hospital Administrator
📞 2087858402

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Psychiatric Hospital Primary
    An 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...
    ID license ##17 taxonomy 283Q00000X

Identifiers

TypeValueNotes
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
    Type code 5 recorded 2007-05-21

Practice context

Multi-provider organization. 1 individual provider 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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