OrganizationActive
Idaho Dept of Health & Welfare Reg 6 Amh Clinic Poc
NPI 1811028889 · Adult Mental Health Clinic/Center · Pocatello, ID
Provider details
- NPI number
- 1811028889
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ed Axford, Program Manager(208) 234-7900
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
421 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 234-7900
Fax: (208) 236-6328
Approximate (ZIP-level) locationGet directions
Mailing address
421 Memorial Dr
Pocatello, ID 83201-4008
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.