Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashton Memorial Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1104665587

Ashton Memorial Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Idaho Falls, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2935 Rollandet St
Idaho Falls, ID 83402-4654
Phone: (208) 542-2905
Fax: (208) 522-2427
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1104665587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzanne Brady — Hr Director/Compliance Officer · (208) 652-7461
Other names Gustafson House
NPI enumeratedMay 23, 2024
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024
Mailing addressPo Box 838, Ashton, ID 83420-0838