Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Idaho Behavioral Health, Inc

Organization Family Medicine Physician · NPI 1053658138

Idaho Behavioral Health, Inc provides Family Medicine Physician services in Mountain Home, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2420 American Legion Blvd
Mountain Home, ID 83647-3146 Not confirmed with CMS for 13 years — call before visiting
Phone: (208) 580-9525
Fax: (208) 580-9527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-4112 (ID)

Record details

NPI number1053658138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tami Jones — President And Ceo · (208) 343-2737
NPI enumeratedJanuary 10, 2013
Last updated in NPPESJanuary 10, 2013
Mailing address2273 S Vista Ave, 190, Boise, ID 83705-7341

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