NPI 1992789101
State of Idaho Department of Health and Welfare
Practice location
- Address
- 700 East Alice Box 400, Blackfoot, ID 83221
- Phone
- (208) 785-1200
- Fax
- (208) 785-8518
- Mailing address
- 700 E Alice St PO Box 400, Blackfoot, ID 83221-4925
Authorised official
- Name
- Abbe Fisher
- Title
- Financial Specilist Sr
- Phone
- (208) 782-9938
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1992789101
- Entity type
- Organization
- NPI issued
- 1 Dec 2005
- Record last updated
- 24 Jun 2026
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.