SOUTHEASTERN DISTRICT HEALTH DEPARTMENT
NPI 1235260829
Public Health or Welfare in Pocatello, ID

Active since March 08, 2007
1901 ALVIN RICKEN DR, POCATELLO, ID 83201(208) 239-5242(208) 478-9297 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 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 1235260829) is a healthcare organization registered as a public health or welfare in Pocatello, Idaho and active in the NPI registry since March 2007. The organization lists Edward A. Marugg, Director, as its authorized official.

NPPES Registry Identity

NPI1235260829
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) 239-5242 · Fax (208) 478-9297
Fax(208) 478-9297
Organization SubpartNo
Authorized OfficialEdward A. MaruggDirector · (208) 233-9080
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 10, 2008
NPI 1235260829 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

Other Names 1

Doing Business AsSoutheastern District Health Department

Other Identifiers 1

Medicaid002470300ID

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.

Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Physician Assistant
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Nurse Practitioner (Family)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Nurse Practitioner (Family)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Home Health
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Nurse Practitioner (Women's Health)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201

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 1235260829. It was assigned to this organization in the NPPES registry on March 8, 2007. 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) 239-5242.

What is State Of Idaho's specialty?

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

When was this NPI record last updated?

The NPPES record for State Of Idaho was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.