Idaho State University in Pocatello - General Practice
Idaho State University - NPI 1851516256
Idaho State University is a General Practice in Pocatello, Idaho. Idaho State University practices all healthcare services and medical treatments related to General Practice. The NPI Number for Idaho State University is 1851516256. The last update date is 2008-03-24.
Idaho State University's current location address is 921 S. 8th Ave., Stop 8088, Pocatello, Idaho. You can contact this provider via phone number 2082826000 and fax number 2082824950. The mailing address for Idaho State University is 921 S. 8th Ave., Stop 8088, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho State University |
|---|---|
| Address | 921 S. 8th Ave., Stop 8088, Pocatello, Idaho |
| Phone Number | 2082826000 |
| Fax Number | 2082824950 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Crawford Robert Brian |
| Credentials | DDS |
| Telephone Number | 2082825275 |
NPI Number Detail
| NPI Number | 1851516256 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2008-03-24 |
Provider Mailing Address Detail
| Address | 921 S. 8th Ave., Stop 8088 |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832098088 |
| Phone Number | 2082826000 |
| Fax Number | 2082824950 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181764 | ID | -- | |
| 8057101 | ID | -- |
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What is the unique identifier code issued to Idaho State University by the Centers for Medicare & Medicaid Services (CMS)?
The Idaho State University has been assigned the NPI (National Provider Identifier) 1851516256. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Idaho State University located?
The Idaho State University is located at 921 S. 8Th Ave., Stop 8088, Pocatello, ID 832098088.
What is Idaho State University's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Idaho State University is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did the Idaho State University receive its 1851516256?
The Idaho State University was issued its 1851516256 on 2007-04-13, which is the date when the organization was assigned this unique identifier.
When was the information related to Idaho State University most recently updated or refreshed?
The details pertaining to the Idaho State University, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-24.
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