Idaho Dept Of Health & Welfare Itp Region 6 in Pocatello - Early Intervention Provider Agency
Idaho Dept Of Health & Welfare Itp Region 6 - NPI 1164563508
Idaho Dept Of Health & Welfare Itp Region 6 is a Early Intervention Provider Agency in Pocatello, Idaho. Idaho Dept Of Health & Welfare Itp Region 6 practices all healthcare services and medical treatments related to Early Intervention Provider Agency. The NPI Number for Idaho Dept Of Health & Welfare Itp Region 6 is 1164563508. The last update date is 2013-08-05.
Idaho Dept Of Health & Welfare Itp Region 6's current location address is 421 Memorial Dr, Pocatello, Idaho. You can contact this provider via phone number 2082347900 and fax number 2082366328. The mailing address for Idaho Dept Of Health & Welfare Itp Region 6 is 421 Memorial Dr, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Dept Of Health & Welfare Itp Region 6 |
|---|---|
| Address | 421 Memorial Dr, Pocatello, Idaho |
| Phone Number | 2082347900 |
| Fax Number | 2082366328 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM MA |
|---|---|
| Authorized Official Name | Jones J Mary |
| Credentials | B.U.S. |
| Telephone Number | 2083345523 |
NPI Number Detail
| NPI Number | 1164563508 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2013-08-05 |
Provider Mailing Address Detail
| Address | 421 Memorial Dr |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832014008 |
| Phone Number | 2082347900 |
| Fax Number | 2082366328 |
Provider's Primary Taxonomy Detail
| Speciality | Early Intervention Provider Agency |
|---|---|
| Taxonomy | 252Y00000X |
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Definition: Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Ac |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10019386 | ID | BLUE SHIELD | |
| 28414 | ID | -- | |
| HW165 | ID | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Idaho Dept Of Health & Welfare Itp Region 6 by the Centers for Medicare & Medicaid Services?
The Idaho Dept Of Health & Welfare Itp Region 6 has been issued the NPI (National Provider Identifier) 1164563508 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Idaho Dept Of Health & Welfare Itp Region 6 located?
The Idaho Dept Of Health & Welfare Itp Region 6 is located at 421 Memorial Dr, Pocatello, ID 832014008.
What is the Idaho Dept Of Health & Welfare Itp Region 6's area of specialization and corresponding taxonomy classification?
The Idaho Dept Of Health & Welfare Itp Region 6's specialty field is Early Intervention Provider Agency, and it falls under the taxonomy code 252Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Idaho Dept Of Health & Welfare Itp Region 6 receive its 1164563508 assignment from the Centers for Medicare & Medicaid Services?
The Idaho Dept Of Health & Welfare Itp Region 6 was assigned its 1164563508 by the Centers for Medicare & Medicaid Services on 2007-02-09.
When was the information pertaining to Idaho Dept Of Health & Welfare Itp Region 6 most recently updated or revised?
The details related to Idaho Dept Of Health & Welfare Itp Region 6, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-05.