South Park, Inc. in Pocatello - Nursing Care
South Park, Inc. - NPI 1194930768
South Park, Inc. is a Nursing Care in Pocatello, Idaho. South Park, Inc. practices all healthcare services and medical treatments related to Nursing Care. The NPI Number for South Park, Inc. is 1194930768. 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 | 1194930768 |
|---|---|
| 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 | Nursing Care |
|---|---|
| Taxonomy | 251J00000X |
|
Definition: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency m |
|
Post Comment/ Review Below
What is the South Park, Inc.'s 1194930768?
The South Park, Inc.'s NPI (National Provider Identifier) Number is 1194930768. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where South Park, Inc. is physically located?
The South Park, Inc. is physically situated at the following address: 415 S Arthur Ave, Pocatello, ID, 832043303.
What is the area of specialization for South Park, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for South Park, Inc. is Nursing Care, and the corresponding taxonomy code that categorizes this area of expertise is 251J00000X.
On what date did the South Park, Inc. receive the assignment of its 1194930768 from the Centers for Medicare & Medicaid Services?
The South Park, Inc. was issued its 1194930768 by the Centers for Medicare & Medicaid Services on 2007-05-14.
As of what date was the information pertaining to South Park, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to South Park, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.