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Bh-Id Opco If, LLC — NPI 1174488746, Idaho Falls, ID | NPI Central

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NPI 1174488746

OrganizationActive

Bh-Id Opco If, LLC

NPI 1174488746 · Psychiatric Residential Treatment Facility · Idaho Falls, ID

Provider details

NPI number: 1174488746
Entity type: Organization
Primary specialty: Psychiatric Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Chad Engbrecht, General Counsel(858) 254-2510

Specialties & taxonomies

Psychiatric Residential Treatment FacilityPrimary323P00000X
Residential Treatment Facilities

Practice location

383 Energy Dr

Idaho Falls, ID 83401-4880

Phone: (986) 202-8190

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 12125

Portland, OR 97212-0125

Other names (DBA / former)

Doing business as: Headwaters Behavioral Health

Registry dates

Enumerated: 2025-12-17
Last updated: 2025-12-17
Certified: 2025-12-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.