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Idaho Dept of Health & Welfare Reg 7 Amh Bf

Mental Health Clinic/Center (Including Community Mental Health Center) in Blackfoot, ID · enumerated 2007 · authorized official Randy Rodriquez, Program Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114058179

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Registry record

Entity type Organization (Type 2)
Legal business name Idaho Dept of Health & Welfare Reg 7 Amh Bf
Practice address 720 E Alice, Blackfoot, ID, 83221
Phone (208) 785-5871
Fax (208) 785-5877
Enumeration date Mar 8, 2007
Last updated in NPPES Aug 10, 2010

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

Authorized official

Name Randy Rodriquez
Title Program Manager
Phone (208) 528-5700

Other identifiers

Identifier Type State Issuer
8073683 Medicaid ID -
000010019479 Other ID BLUE SHIELD
HW181 Other ID BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-08-10. Verify at npiregistry.cms.hhs.gov.
Where is Idaho Dept of Health & Welfare Reg 7 Amh Bf located?
The practice location on file with NPPES is in Blackfoot, ID.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-10.