CH MH SERVICES (ID), LLC; NPI #1063016442

Contact Information

CH MH SERVICES (ID), LLC

9460 W FAIRVIEW AVE STE 130
BOISE, ID 83704-8176

Phone: 986-206-0414
Fax: 406-794-0395
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Adolescent and Children Mental Health	261QM0855X
Adult Mental Health	261QM0850X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Rehabilitation, Substance Use Disorder	261QR0405X
Substance Abuse Disorder Rehabilitation Facility	324500000X
Substance Abuse Treatment, Children	3245S0500X

Indicates primary specialty

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NPI Profile & details for CH MH SERVICES (ID), LLC

NPI Number	`1063016442`
LBN Legal business name	CH MH SERVICES (ID), LLC
Authorized official	CHARIE BRYANT - (VP, RCM)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/25/2020
Last updated	11/14/2025 - About 7 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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