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Abundance Behavioral Health Service, INC

Community/Behavioral Health in Caldwell, ID. Organization (NPI-2).

NPI number1669795308
StatusActive
Last updated in NPPESJun 6, 2013

Details

NPI
1669795308
Entity type
Organization (NPI-2)
Legal business name
Abundance Behavioral Health Service, INC
Organization subpart
No
Enumeration date
Mar 9, 2010
Last updated
Jun 6, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

524 Cleveland Blvd Ste 230
Caldwell, ID 83605-4080

Phone 208-455-1222 · Fax 208-455-2559

Mailing address

524 Cleveland Blvd Ste 230
Caldwell, ID 83605-4080

Phone 208-455-1222 · Fax 208-455-2559

Authorized official

Beverly Phillips
Director/Owner
2084551222

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Behavioral Health Agency providers in Caldwell, ID

All 24 Community/Behavioral Health Agency providers in Caldwell · All 1,097 providers in Caldwell

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