NPI 1750526216
Southeastern District Health Department
Practice location
- Address
- 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727
- Phone
- (208) 233-9080
- Fax
- (208) 478-9297
Authorised official
- Name
- Maggie Mann
- Title
- District Director
- Phone
- (208) 239-5258
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1750526216
- Entity type
- Organization
- NPI issued
- 11 Dec 2008
- Record last updated
- 4 Aug 2015
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.