OrganizationActive
Idaho Dept of Health & Welfare Reg 1 Amh Clinic Sandpoint
NPI 1467589184 · Adult Mental Health Clinic/Center · Ponderay, ID
Provider details
- NPI number
- 1467589184
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Holly Bonwell, Program Manager(208) 769-1406
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
207 Larkspur St
Ponderay, ID 83852-5011
Phone: (208) 265-4535
Fax: (208) 263-4198
Approximate (ZIP-level) locationGet directions
Mailing address
207 Larkspur St
Ponderay, ID 83852-5011
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2016-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.