NPI 1023250966

Southeastern District Health Department

Organisation Public Health or Welfare Agency Pocatello, ID

Practice location

Address: 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727
Phone: (208) 233-9080
Fax: (208) 234-7169

Authorised official

Name: Kim L. Barrera
Title: Medica Records Examiner
Phone: (208) 239-5278

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

Other Public Health or Welfare providers in Idaho →

Registry record

NPI: 1023250966
Entity type: Organization
NPI issued: 24 Mar 2009
Record last updated: 24 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.