MEDICARE: LEMHI VALLEY SOCIAL SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861526345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEMHI VALLEY SOCIAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	1380 BENTON ST
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83401-4254
Country	:	US
Telephone Number	:	208-523-2490
Fax Number	:	208-522-2603

Provider Business Practice Location Address
First Line	:	1380 BENTON ST
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83401-4254
Country	:	US
Telephone Number	:	208-756-2927
Fax Number	:	208-756-1518

Authorized Official
Title or Position	:	OWNER
Name	:	MARY SMITH
Credential	:
Telephone Number	:	208-524-5607

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	08/09/2013

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1780717322 — SEE OPPORTUNITIES AND ACHIEVE RESULTS
Practice Location Address:

1380 BENTON ST
IDAHO FALLS, ID
83401-4254

Practice Phone: 208-403-3472
Practice Fax: 208-522-2603

1245363639 — SEE OPPORTUNITIES AND ACHIEVE RESULTS
Practice Location Address:

1380 BENTON ST
IDAHO FALLS, ID
83401-4254

Practice Phone: 208-403-3472
Practice Fax: 208-522-2603

1477729424 — GARY L. HOLTZ, D.D.S., INC.
Practice Location Address:

1208 BELL RD
CHAGRIN FALLS, OH
44022-4254

Practice Phone: 440-338-1711
Practice Fax: 440-338-5107

1669761086 — BRIAN MICHAEL HIVICK D.D.S
Practice Location Address:

1208 BELL RD
CHAGRIN FALLS, OH
44022-4254

Practice Phone: 440-338-1711
Practice Fax: 440-338-5107

1316556269 — BRONTE HEATH SCHULTZ PA-C
Practice Location Address:

236 15TH AVE S
GREAT FALLS, MT
59405-4254

Practice Phone: 580-297-0112
Practice Fax:

Directions to “LEMHI VALLEY SOCIAL SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.