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DEVELOPMENTAL OPTIONS
NPI 1003021676
Case Management in Pocatello, ID

Active since May 14, 2007CLIA 13D0699140 · Waiver
415 S ARTHUR AVE, POCATELLO, ID 83204(208) 233-6833(208) 233-6842 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Developmental Options NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVELOPMENTAL OPTIONS (NPI 1003021676) is a healthcare organization registered as a case management in Pocatello, Idaho and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Russell C Mccoy, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003021676
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameSOUTH PARK, INC.
Location Address415 S ARTHUR AVEPocatello, ID 83204-3303
Mailing Address415 S Arthur AvePocatello, ID 83204-3303 · (208) 233-6833 · Fax (208) 233-6842
Phone(208) 233-6833
Fax(208) 233-6842
Organization SubpartNo
Authorized OfficialRussell C MccoyExecutive Director · (208) 233-6833
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003021676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
415 S ARTHUR AVE, Pocatello, ID 83204
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Other Names 1

Doing Business AsDevelopmental Options

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D0699140

Developmental Options · Pocatello, ID
Active · expires Aug 31, 2026
CLIA Number13D0699140
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorScott Christensen
Laboratory Phone(208) 233-6833
Laboratory LocationDevelopmental Options415 S Arthur Ave, Pocatello, ID 83204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH PARK, INC.
Nursing Care
415 S ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 233-6833
SOUTH PARK, INC.
Case Management
415 S ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 233-6833
SOUTH PARK, INC.
Case Management
415 S ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 233-6833
SOUTH PARK, INC.
Case Management
415 S ARTHUR AVE
POCATELLO, ID 83204
Power County (208) 233-6833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Park, Inc.'s NPI number?

The NPI number for South Park, Inc. is 1003021676. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is doing business as Developmental Options.

Where is South Park, Inc. located?

South Park, Inc. is located at 415 S Arthur Ave, Pocatello, ID 83204. The listed phone number is (208) 233-6833.

What is South Park, Inc.'s specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Does South Park, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0699140) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Park, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.