OrganizationActive
Lost River Wellness
NPI 1497235469 · Adult Mental Health Clinic/Center · Meridian, ID
Provider details
- NPI number
- 1497235469
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeff Brown, Chief Business Officer(208) 484-1447
- License
- M11538 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3080 E Gentry Way Ste 100
Meridian, ID 83642-3060
Phone: (208) 810-2318
Approximate (ZIP-level) locationGet directions
Mailing address
3080 E Gentry Way Ste 100
Meridian, ID 83642-3060
Other names (DBA / former)
- Doing business as
- Lost River Wellness
- Doing business as
- Lost River Wellness
Registry dates
- Enumerated
- 2018-08-18
- Last updated
- 2018-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.