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SOUTHEASTERN DISTRICT HEALTH DEPT.
NPI 1396919916
Public Health or Welfare in Pocatello, ID

Active since April 15, 2008
1901 ALVIN RICKEN DR, POCATELLO, ID 83201(208) 233-9080(208) 234-7169 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeastern District Health Dept. NPPES

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

SOUTHEASTERN DISTRICT HEALTH DEPT. (NPI 1396919916) is a healthcare organization registered as a public health or welfare in Pocatello, Idaho and active in the NPI registry since April 2008. The organization lists Tricia Nannette Codding, Fachs Director, as its authorized official.

NPPES Registry Identity

NPI1396919916
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameSOUTHEASTERN DISTRICT HEALTH DEPT.
Location Address1901 ALVIN RICKEN DRPocatello, ID 83201-2727
Mailing Address1901 Alvin Ricken DrPocatello, ID 83201-2727 · (208) 233-9080 · Fax (208) 234-7169
Phone(208) 233-9080
Fax(208) 234-7169
Organization SubpartNo
Authorized OfficialTricia Nannette CoddingFachs Director · (208) 233-9080
Enumeration DateApril 15, 2008
Last NPPES UpdateOctober 28, 2008
✔ NPI 1396919916 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 Identifiers 2

Medicare PIN1910049ID
Medicare PIN600000697ID

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
STATE OF IDAHO
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
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 Southeastern District Health Dept.'s NPI number?

The NPI number for Southeastern District Health Dept. is 1396919916. It was assigned to this organization in the NPPES registry on April 15, 2008.

Where is Southeastern District Health Dept. located?

Southeastern District Health Dept. is located at 1901 Alvin Ricken Dr, Pocatello, ID 83201. The listed phone number is (208) 233-9080.

What is Southeastern District Health Dept.'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 Southeastern District Health Dept. was last updated on October 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.