IDAHO STATE UNIVERSITY HEALTH CENTER
NPI 1336214618
Clinic/Center - Student Health in Pocatello, ID

Q: What is Idaho State University Health Center's NPI number?

The NPI number for Idaho State University Health Center is 1336214618. It was assigned to this organization in the NPPES registry on November 21, 2006.

Q: What is Idaho State University Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Active since November 21, 2006CLIA 13D0665964 · Microscopy

990 CESAR CHAVEZ AVE, POCATELLO, ID 83209(208) 282-2330(208) 282-4036 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Idaho State University Health Center NPPES

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

IDAHO STATE UNIVERSITY HEALTH CENTER (NPI 1336214618) is a healthcare organization registered as a student health in Pocatello, Idaho and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through August 27, 2027 and lists Ronald M Solbrig, Director, as its authorized official.

NPPES Registry Identity

NPI1336214618

Entity TypeOrganization

Primary Taxonomy261QS1000X

Legal Business NameIDAHO STATE UNIVERSITY HEALTH CENTER

Location Address990 CESAR CHAVEZ AVEPocatello, ID 83209-0001

Mailing Address921 S 8th Ave Stop 8311Pocatello, ID 83209-0002 · (208) 282-2330 · Fax (208) 282-4036

Phone(208) 282-2330

Fax(208) 282-4036

Organization SubpartYesParent: Idaho State University

Authorized OfficialRonald M SolbrigDirector · (208) 282-2330

Enumeration DateNovember 21, 2006

Last NPPES UpdateFebruary 26, 2015

✔ NPI 1336214618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities

Taxonomy Code261QS1000X

990 CESAR CHAVEZ AVE, Pocatello, ID 83209

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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 for Provider-Performed Microscopy Procedures (PPMP) 13D0665964

Idaho State University Health Center · Pocatello, ID

Active · expires Aug 27, 2027

CLIA Number13D0665964

Laboratory TypeSchool/Student Health Service

Certificate Effective DateAugust 28, 2025

Certificate Expiration DateAugust 27, 2027

Laboratory DirectorSupe Lyon

Laboratory Phone(208) 282-2330

Laboratory LocationIdaho State University Health Center990 Cesar Chavez Ave, Pocatello, ID 83209

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

MS. VICTORIA ELEANOR RYAN PA-C

Student in an Organized Health Care Education/Training Program

990 CESAR CHAVEZ AVE
POCATELLO, ID 83209

Bannock County (208) 282-2330

MRS. GINA MARIE DAVIS PHARM.D.

Pharmacist

990 CESAR CHAVEZ AVE
POCATELLO, ID 83209

Bannock County (208) 282-3407

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 Idaho State University Health Center's NPI number?

The NPI number for Idaho State University Health Center is 1336214618. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Idaho State University Health Center located?

Idaho State University Health Center is located at 990 Cesar Chavez Ave, Pocatello, ID 83209. The listed phone number is (208) 282-2330.

What is Idaho State University Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does Idaho State University Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0665964) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idaho State University Health Center was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.