State Of Idaho in Pocatello - Public Health Or Welfare
State Of Idaho - NPI 1063576445
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 1063576445. The last update date is 2008-06-30.
State Of Idaho's current location address is 1901 Alvin Ricken Dr, Pocatello, Idaho. You can contact this provider via phone number 2082339080 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 | 2082339080 |
| 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 | 1063576445 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 1901 Alvin Ricken Dr |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832012727 |
| Phone Number | 2082339080 |
| 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 | -- | |
| 2832700 | ID | -- | |
| 2470300 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to State Of Idaho by the Centers for Medicare & Medicaid Services?
The State Of Idaho has been issued the NPI (National Provider Identifier) 1063576445, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where State Of Idaho's facilities are geographically located?
The facilities of State Of Idaho are physically situated at the following location: 1901 Alvin Ricken Dr, Pocatello, ID, 832012727.
What is State Of Idaho'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 State Of Idaho is Public Health Or Welfare, and the taxonomy classification code that categorizes this area of expertise is 251K00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063576445 to State Of Idaho?
The Centers for Medicare & Medicaid Services assigned the 1063576445 to State Of Idaho on 2006-12-20.
As of what date were the details related to State Of Idaho most recently updated or revised?
The information pertaining to State Of Idaho, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-30.