SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC .
NPI 1568636959
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: August 16, 2026.

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

NPI1568636959
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameSOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC .
Location Address765 W JUDICIAL STBlackfoot, ID 83221-2036
Mailing AddressPo Box 701Blackfoot, ID 83221-0701 · (208) 782-1301 · Fax (208) 782-3627
Fax(208) 782-3627
Organization SubpartNo
Authorized OfficialJim P. MccoyOwner Director · (208) 782-1301
Enumeration DateApril 16, 2008
NPI 1568636959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
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.
765 W JUDICIAL ST, Blackfoot, ID 83221

Other Identifiers 1

Medicaid8068453ID

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.

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