Southeastern Idaho Developmental Center, Inc. in Blackfoot - Community/behavioral Health
Southeastern Idaho Developmental Center, Inc. - NPI 1780879700
Southeastern Idaho Developmental Center, Inc. is a Community/behavioral Health in Blackfoot, Idaho. Southeastern Idaho Developmental Center, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Southeastern Idaho Developmental Center, Inc. is 1780879700. The last update date is 2007-09-12.
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 | 1780879700 |
|---|---|
| Provider Enumeration Date | 2007-09-12 |
| Last Updated Date | 2007-09-12 |
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 | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Post Comment/ Review Below
What is the unique identifier 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) 1780879700. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Southeastern Idaho Developmental Center, Inc.'s facilities are geographically located?
The facilities of Southeastern Idaho Developmental Center, Inc. are physically situated at the following location: Po Box 701, Blackfoot, ID, 832210701.
What is the Southeastern Idaho Developmental Center, Inc.'s specialty and taxonomy code?
The Southeastern Idaho Developmental Center, Inc.'s specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date was the 1780879700 assigned to Southeastern Idaho Developmental Center, Inc.?
The Southeastern Idaho Developmental Center, Inc. was issued its 1780879700 on 2007-09-12, which is the date when this unique identifier was assigned 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 2007-09-12.