South Park, Inc. in Pocatello - Case Management
South Park, Inc. - NPI 1912112582
South Park, Inc. is a Case Management in Pocatello, Idaho. South Park, Inc. practices all healthcare services and medical treatments related to Case Management. The NPI Number for South Park, Inc. is 1912112582. The last update date is 2020-08-22.
South Park, Inc.'s current location address is 415 S Arthur Ave, Pocatello, Idaho. You can contact this provider via phone number 2082336833 and fax number 2082336842. The mailing address for South Park, Inc. is 415 S Arthur Ave, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Park, Inc. |
|---|---|
| Address | 415 S Arthur Ave, Pocatello, Idaho |
| Phone Number | 2082336833 |
| Fax Number | 2082336842 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mccoy C Russell |
| Credentials | M.A.ED |
| Telephone Number | 2082336833 |
NPI Number Detail
| NPI Number | 1912112582 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 415 S Arthur Ave |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832043303 |
| Phone Number | 2082336833 |
| Fax Number | 2082336842 |
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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Post Comment/ Review Below
What is the unique identifier code issued to South Park, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The South Park, Inc. has been assigned the NPI (National Provider Identifier) 1912112582. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of South Park, Inc.?
The South Park, Inc. is situated at 415 S Arthur Ave, in the city of Pocatello, state of ID, with the zip code 832043303.
What is South Park, Inc.'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 South Park, Inc. is Case Management, and the taxonomy classification code that categorizes this area of expertise is 251B00000X.
When did the South Park, Inc. receive its 1912112582?
The South Park, Inc. was issued its 1912112582 on 2007-05-14, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding South Park, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to South Park, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.