State Of Idaho in Pocatello - Public Health Or Welfare
State Of Idaho - NPI 1811028319
State Of Idaho is a Public Health Or Welfare in Pocatello, Idaho. State Of Idaho practices all healthcare services and medical treatments related to Public Health Or Welfare. The NPI Number for State Of Idaho is 1811028319. The last update date is 2008-07-10.
State Of Idaho's current location address is 1901 Alvin Ricken Dr, Pocatello, Idaho. You can contact this provider via phone number 2082395242 and fax number 2084789297. 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 | 2082395242 |
| Fax Number | 2084789297 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Marugg A. Edward |
| Credentials | R.E.H.S |
| Telephone Number | 2082339080 |
NPI Number Detail
| NPI Number | 1811028319 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 1901 Alvin Ricken Dr |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832012727 |
| Phone Number | 2082395242 |
| Fax Number | 2084789297 |
Provider's Primary Taxonomy Detail
| Speciality | Public Health Or Welfare |
|---|---|
| Taxonomy | 251K00000X |
|
Definition: Government-funded agency providing population health, disease prevention, emergency preparedness and health education services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2834600 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to State Of Idaho by the Centers for Medicare & Medicaid Services (CMS)?
The State Of Idaho has been assigned the NPI (National Provider Identifier) 1811028319. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where State Of Idaho is physically located?
The State Of Idaho is physically situated at the following address: 1901 Alvin Ricken Dr, Pocatello, ID, 832012727.
What is State Of Idaho's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for State Of Idaho is Public Health Or Welfare, and the taxonomy code that categorizes this field of expertise is 251K00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811028319 to State Of Idaho?
The Centers for Medicare & Medicaid Services originally issued the 1811028319 to State Of Idaho on 2007-03-08.
When was the information related to State Of Idaho most recently updated or refreshed?
The details pertaining to the State Of Idaho, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-10.
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