Mountain Health Systems

NPI #1811760275 in Kimberly, Idaho

Provider Information

NPI Number: 1811760275
Entity Type: Organization
Organization Name: Mountain Health Systems
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 6, 2023
Last Updated: Nov 6, 2023

Practice Location

Address: 3303 ASPEN RIDGE CIR
City: Kimberly
State: Idaho
ZIP Code: 83341-5511
Phone: (208) 420-8752

Authorized Official

Name: JEREMY MARC POTTER
Title: OWNER
Phone: (208) 420-8752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Substance Abuse Rehabilitation Facility	324500000X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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