STATE OF IDAHO

Public Health or Welfare

Active Organization
NPI: 1235260829

Practice Address

1901 ALVIN RICKEN DR
Pocatello, ID 83201

Phone: (208) 239-5242

Specialties

Specialty Code Primary License
Public Health or Welfare 251K00000X Yes -

Frequently Asked Questions

NPI 1235260829 is the National Provider Identifier for STATE OF IDAHO, a Public Health or Welfare provider located in Pocatello, ID. This NPI was enumerated on March 8, 2007.

Quick Facts

NPI
1235260829
Type
Organization
Enumerated
Mar 8, 2007
Last Updated
Jul 10, 2008

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