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

Q: 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.

Q: What is State Of Idaho's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for State Of Idaho was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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: August 16, 2026.

On this page

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

Phone(208) 239-5210

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

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Other Names 1

Doing Business AsSoutheastern District Health Department

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