SOUTHEASTERN DISTRICT HEALTH DEPARTMENT
NPI 1649277393
Home Health in Pocatello, ID

Active since July 07, 2005
1901 ALVIN RICKEN DR, POCATELLO, ID 83201(208) 239-5210(208) 478-6306 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeastern District Health Department NPPES

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

SOUTHEASTERN DISTRICT HEALTH DEPARTMENT (NPI 1649277393) is a healthcare organization registered as a home health in Pocatello, Idaho and active in the NPI registry since July 2005. The organization lists Edward A. Marugg, Director, as its authorized official.

NPPES Registry Identity

NPI1649277393
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSTATE OF IDAHO
Location Address1901 ALVIN RICKEN DRPocatello, ID 83201-2727
Mailing Address1901 Alvin Ricken DrPocatello, ID 83201-2727 · (208) 239-5210 · Fax (208) 478-6306
Fax(208) 478-6306
Organization SubpartNo
Authorized OfficialEdward A. MaruggDirector · (208) 233-9080
Enumeration DateJuly 7, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1649277393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in ID · 13-7001
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

1901 ALVIN RICKEN DR, Pocatello, ID 83201

Other Names 1

Doing Business AsSoutheastern District Health Department

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Physician Assistant
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Nurse Practitioner (Women's Health)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201

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 State Of Idaho's NPI number?

The NPI number for State Of Idaho is 1649277393. It was assigned to this organization in the NPPES registry on July 7, 2005. The provider is doing business as Southeastern District Health Department.

Where is State Of Idaho located?

State Of Idaho is located at 1901 Alvin Ricken Dr, Pocatello, ID 83201. The listed phone number is (208) 239-5210.

What is State Of Idaho's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for State Of Idaho was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.