Southeastern Idaho Developmental Center, Inc. in Blackfoot - Case Management
Southeastern Idaho Developmental Center, Inc. - NPI 1235264318
Southeastern Idaho Developmental Center, Inc. is a Case Management in Blackfoot, Idaho. Southeastern Idaho Developmental Center, Inc. practices all healthcare services and medical treatments related to Case Management. The NPI Number for Southeastern Idaho Developmental Center, Inc. is 1235264318. The last update date is 2020-08-22.
Southeastern Idaho Developmental Center, Inc.'s current location address is Po Box 701, Blackfoot, Idaho. You can contact this provider via phone number 2087821301 and fax number 2087823627. The mailing address for Southeastern Idaho Developmental Center, Inc. is Po Box 701, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Idaho Developmental Center, Inc. |
|---|---|
| Address | Po Box 701, Blackfoot, Idaho |
| Phone Number | 2087821301 |
| Fax Number | 2087823627 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DIRE |
|---|---|
| Authorized Official Name | Mccoy P. Jim |
| Telephone Number | 2087821301 |
NPI Number Detail
| NPI Number | 1235264318 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 701 |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 832210701 |
| Phone Number | 2087821301 |
| Fax Number | 2087823627 |
Provider's Primary Taxonomy Detail
| Speciality | Case Management |
|---|---|
| Taxonomy | 251B00000X |
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Definition: An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used |
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What is the unique 10-digit identification code issued to Southeastern Idaho Developmental Center, Inc. by the Centers for Medicare & Medicaid Services?
The Southeastern Idaho Developmental Center, Inc. has been assigned the NPI (National Provider Identifier) 1235264318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Southeastern Idaho Developmental Center, Inc.?
The Southeastern Idaho Developmental Center, Inc. is situated at Po Box 701, in the city of Blackfoot, state of ID, with the zip code 832210701.
What is Southeastern Idaho Developmental Center, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southeastern Idaho Developmental Center, Inc. is Case Management, and the corresponding taxonomy classification code for this specialized field is 251B00000X.
On what date did Southeastern Idaho Developmental Center, Inc. receive its 1235264318 assignment from the Centers for Medicare & Medicaid Services?
The Southeastern Idaho Developmental Center, Inc. was assigned its 1235264318 on 2007-02-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Southeastern Idaho Developmental Center, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Southeastern Idaho Developmental Center, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC