SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC .
NPI 1568636959
Case Management in Blackfoot, ID
About Southeastern Idaho Developmental Center, Inc . NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC . (NPI 1568636959) is a healthcare organization registered as a case management in Blackfoot, Idaho and active in the NPI registry since April 2008. The organization lists Jim P. Mccoy, Owner Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLACKFOOT, ID 83221
BLACKFOOT, ID 83221
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 Idaho Developmental Center, Inc .'s NPI number?
The NPI number for Southeastern Idaho Developmental Center, Inc . is 1568636959. It was assigned to this organization in the NPPES registry on April 16, 2008.
Where is Southeastern Idaho Developmental Center, Inc . located?
Southeastern Idaho Developmental Center, Inc . is located at 765 W Judicial St, Blackfoot, ID 83221. The listed phone number is (208) 782-1301.
What is Southeastern Idaho Developmental Center, Inc .'s specialty?
The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.
When was this NPI record last updated?
The NPPES record for Southeastern Idaho Developmental Center, Inc . was last updated on April 16, 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.