State Of Idaho in Pocatello - Hospice Care, Community Based
State Of Idaho - NPI 1902995814
State Of Idaho is a Hospice Care, Community Based in Pocatello, Idaho. State Of Idaho practices all healthcare services and medical treatments related to Hospice Care, Community Based. The NPI Number for State Of Idaho is 1902995814. The last update date is 2020-08-22.
State Of Idaho's current location address is 1901 Alvin Ricken Dr, Pocatello, Idaho. You can contact this provider via phone number 2082395240 and fax number 2084786306. The mailing address for State Of Idaho is 1901 Alvin Ricken Dr, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Idaho |
|---|---|
| Address | 1901 Alvin Ricken Dr, Pocatello, Idaho |
| Phone Number | 2082395240 |
| Fax Number | 2084786306 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DISTRICT D |
|---|---|
| Authorized Official Name | Marugg A. Edward |
| Credentials | R.E.H.S. |
| Telephone Number | 2082339080 |
NPI Number Detail
| NPI Number | 1902995814 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1901 Alvin Ricken Dr |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832012727 |
| Phone Number | 2082395240 |
| Fax Number | 2084786306 |
Provider's Primary Taxonomy Detail
| Speciality | Hospice Care, Community Based |
|---|---|
| Taxonomy | 251G00000X |
| Licence No | 13-1512 |
|
Definition: Provides palliative care to terminally ill patients to manage pain and symptoms and support quality of life. |
|
Post Comment/ Review Below
What is the unique identifier code issued to State Of Idaho by the Centers for Medicare & Medicaid Services?
The State Of Idaho has been assigned the NPI (National Provider Identifier) 1902995814. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where State Of Idaho is located?
The State Of Idaho is situated at the following address: 1901 Alvin Ricken Dr, Pocatello, ID, 832012727.
What is the State Of Idaho's specialty and taxonomy code?
The State Of Idaho's specialty is Hospice Care, Community Based, and the corresponding taxonomy code is 251G00000X.
On what date did the State Of Idaho receive its 1902995814 assignment from the Centers for Medicare & Medicaid Services?
The State Of Idaho was assigned its 1902995814 by the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the information regarding State Of Idaho, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to State Of Idaho, 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
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN