SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
NPI 1558535948
Case Management in Blackfoot, ID

Active since April 16, 2008
765 W JUDICIAL ST, BLACKFOOT, ID 83221(208) 782-1301(208) 782-3627 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Case Management

About SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.

This page provides the complete NPI Profile along with additional information for Southeastern Idaho Developmental Center, Inc., a provider established in Blackfoot, Idaho operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1558535948 assigned on April 2008. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Jim P. Mccoy (Owner Director)

NPI
1558535948 Verify this NPI
Provider Name
SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
Entity Type
Organization
Location Address
765 W JUDICIAL ST BLACKFOOT, ID 83221
Location Phone
(208) 782-1301
Location Fax
(208) 782-3627
Mailing Address
PO BOX 701 BLACKFOOT, ID 83221
Mailing Phone
(208) 782-1301
Mailing Fax
(208) 782-3627
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2008
Last Update Date
04-16-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Management

Taxonomy Code
251B00000X
Type
Agencies
License State
ID
Taxonomy Description
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JIM P. MCCOY

Authorized Official Title
OWNER DIRECTOR
Authorized Official Phone
(208) 782-1301

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8073845MEDICAID (05)ID 

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Day Training, Developmentally Disabled Services
765 W JUDICIAL ST
BLACKFOOT, ID 83221
Community/Behavioral Health
765 W JUDICIAL ST
BLACKFOOT, ID 83221
Case Management
765 W JUDICIAL ST
BLACKFOOT, ID 83221
Case Management
765 W JUDICIAL ST
BLACKFOOT, ID 83221
Case Management
765 W JUDICIAL ST
BLACKFOOT, ID 83221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558535948, enumerated as an "organization" on April 16, 2008.

The provider is located at 765 W JUDICIAL ST BLACKFOOT, ID 83221 and the phone number is (208) 782-1301.

Case Management with taxonomy code 251B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.