NPI 1871800128

Mountain View Center for Geriatric Psychiatry LLC

Organisation Psychiatric Hospital Kimberly, ID

Practice location

Address: 500 Polk St E, Kimberly, ID 83341-1618
Phone: (208) 423-5591
Fax: (208) 423-5651
Mailing address: 275 S 5th Ave Lower Level, Pocatello, ID 83201-6400

Authorised official

Name: James B Everton
Title: Ceo
Phone: (208) 233-4673

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 63 (ID)

Other Psychiatric Hospital providers in Idaho →

Registry record

NPI: 1871800128
Entity type: Organization
NPI issued: 8 Sep 2010
Record last updated: 8 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.