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SOUTHEASTERN DISTRICT HEALTH DEPARTMENT
NPI 1063576445
Public Health or Welfare in Pocatello, ID

Active since December 20, 2006
1901 ALVIN RICKEN DR, POCATELLO, ID 83201(208) 233-9080(208) 478-9297 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeastern District Health Department NPPES

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

SOUTHEASTERN DISTRICT HEALTH DEPARTMENT (NPI 1063576445) is a healthcare organization registered as a public health or welfare in Pocatello, Idaho and active in the NPI registry since December 2006. The organization lists Edward A. Marugg, Director, as its authorized official.

NPPES Registry Identity

NPI1063576445
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameSTATE OF IDAHO
Location Address1901 ALVIN RICKEN DRPocatello, ID 83201-2727
Mailing Address1901 Alvin Ricken DrPocatello, ID 83201-2727 · (208) 233-9080 · Fax (208) 478-9297
Phone(208) 233-9080
Fax(208) 478-9297
Organization SubpartNo
Authorized OfficialEdward A. MaruggDirector · (208) 233-9080
Enumeration DateDecember 20, 2006
Last NPPES UpdateJune 30, 2008
✔ NPI 1063576445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
1901 ALVIN RICKEN DR, Pocatello, ID 83201
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Other Names 1

Doing Business AsSoutheastern District Health Department

Other Identifiers 5

Medicaid002470300ID
Medicaid002834600ID
Medicare PIN1910049ID
Medicare PIN600000697ID
Medicaid002832700ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 12

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

SOUTHEASTERN DISTRICT HEALTH DEPARTMENT
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080
MS. LINDSEY SCOTT PA-C
Physician Assistant
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080
STATE OF IDAHO
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 239-5242
MRS. VIRGINIA ANN MURPHY NP
Nurse Practitioner (Family)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080
SOUTHEASTERN DISTRICT HEALTH DEPT.
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080
SHAUNNA RAE KRAMER NP-C
Nurse Practitioner (Family)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080
STATE OF IDAHO
Home Health
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 239-5210
CHRISTINE FUHRMAN MLADENKA DNP, WHNP
Nurse Practitioner (Women's Health)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080

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 1063576445. It was assigned to this organization in the NPPES registry on December 20, 2006. The provider is doing business as Southeastern District Health Department.

Where is State Of Idaho located?

State Of Idaho is located at 1901 Alvin Ricken Dr, Pocatello, ID 83201. The listed phone number is (208) 233-9080.

What is State Of Idaho's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

What insurance does State Of Idaho accept?

Health plans from PacificSource Health Plans list State Of Idaho as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Of Idaho was last updated on June 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.