NORTH IDAHO DETOX – NPI #1073267654
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

NORTH IDAHO DETOX is a substance abuse rehabilitation facility located in POST FALLS, ID. NPPES has assigned the NPI number 1073267654 to NORTH IDAHO DETOX on February 11, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH IDAHO DETOX below.

NPI Profile for
NORTH IDAHO DETOX

NPI Number
1073267654
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH IDAHO DETOX
Primary location
1654 E VELORA DR
POST FALLS, ID 83854-4428
Phone: (208) 918-3835 Fax:
Mailing address
11933 N EMERALD DR
HAYDEN, ID 83835-9424
Phone: (208) 918-3835 Fax:
Organization Subpart
No
Authorized Official
JACOB SIEGBERG
CEO
Phone: (208) 918-3835
Updated
Certification Date
Feb 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.