Organization
BHC INTERMOUNTAIN HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
303 ALLUMBAUGH ST, BOISE, ID 83704-9208
(208) 377-8400
(208) 377-4749
Mailing address
303 ALLUMBAUGH ST, BOISE, ID 83704-9208
(208) 377-8400
(208) 377-4749
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
46
ID
320800000X
Mental Illness Community Based Residential Treatment Facility
20296
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010012598
INPATIENT
ID
01
—
00711
INPATIENT HOSPITAL
ID
01
—
4100349
RESIDENTAIL TREATMENT FAC
MT
05
—
805048800
—
ID
01
—
HS493PI
RESIDENTAIL AND INPATIENT
AK
Enumeration date
08/16/2006
Last updated
03/07/2011
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