STATE HOSPITAL SOUTH GROUP
NPI 1053615260
Psychologist in Blackfoot, ID
About State Hospital South Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE HOSPITAL SOUTH GROUP (NPI 1053615260) is a healthcare organization registered as a psychologist in Blackfoot, Idaho and active in the NPI registry since January 2011. The organization lists Lorna B Colvin, Patient Account Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLACKFOOT, ID 83221
BLACKFOOT, ID 83221
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 State Of Idaho's NPI number?
The NPI number for State Of Idaho is 1053615260. It was assigned to this organization in the NPPES registry on January 3, 2011. The provider is doing business as State Hospital South Group.
Where is State Of Idaho located?
State Of Idaho is located at 700 E Alice St, Blackfoot, ID 83221. The listed phone number is (208) 785-8506.
What is State Of Idaho's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for State Of Idaho was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.