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Idaho Dept of Health & Welfare Reg 6 Amh Psr Poc

Mental Health Clinic/Center (Including Community Mental Health Center) in Pocatello, ID · enumerated 2007 · authorized official Ed Axford, Program Manager.

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

National Provider Identifier

1225169139

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Idaho Dept of Health & Welfare Reg 6 Amh Psr Poc
Practice address 421 Memorial Dr, Pocatello, ID, 83201
Fax (208) 236-6328
Enumeration date Mar 9, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

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

Authorized official

Name Ed Axford
Title Program Manager

Other identifiers

Identifier Type State Issuer
HW108 Other ID BLUE CROSS OF IDAHO
000010019235 Other ID BLUE SHIELD
0028411 Medicaid ID -

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

What type of organization is Idaho Dept of Health & Welfare Reg 6 Amh Psr Poc?
Idaho Dept of Health & Welfare Reg 6 Amh Psr Poc is registered in NPPES as a Mental Health Clinic/Center (Including Community Mental Health Center) (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.