SOUTHEASTERN IDAHO PUBLIC HEALTH
NPI 1750526216
Public Health or Welfare in Pocatello, ID

NPI Status: Active since December 11, 2008

Contact Information

1901 ALVIN RICKEN DR
POCATELLO, ID
ZIP 83201
Phone: (208) 233-9080
Fax: (208) 478-9297

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  • Organization
  • Public Health or Welfare
  • CLIA Number: 13D0662579
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 09-05-2026

About SOUTHEASTERN IDAHO PUBLIC HEALTH

This page provides the complete NPI Profile along with additional information for Southeastern Idaho Public Health, a provider established in Pocatello, Idaho operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1750526216 assigned on December 2008. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Southeastern Idaho Public Health. The authorized official of this NPI record is Mrs. Maggie Mann (District Director)

NPI
1750526216
Provider Legal Name
SOUTHEASTERN DISTRICT HEALTH DEPARTMENT
Other Organization Name
SOUTHEASTERN IDAHO PUBLIC HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1901 ALVIN RICKEN DR POCATELLO, ID 83201
Location Phone
(208) 233-9080
Location Fax
(208) 478-9297
Mailing Address
1901 ALVIN RICKEN DR POCATELLO, ID 83201
Mailing Phone
(208) 233-9080
Mailing Fax
(208) 478-9297
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2008
Last Update Date
08-04-2015
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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

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies

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

MRS. MAGGIE MANN

Authorized Official Title
DISTRICT DIRECTOR
Authorized Official Phone
(208) 239-5258

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 1,053 times for 1,048 patients

Administration of pneumococcal vaccine

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

This service was performed 126 times for 126 patients

Influenza vaccine split virus, preservative free

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

This service was performed 996 times for 994 patients

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage

The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.

This service was performed 52 times for 52 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

This service was performed 113 times for 113 patients

Pneumococcal vaccine, 23-valent

The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.

This service was performed 13 times for 13 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D0662579
Facility Type
Practitioner Other
Certificate Effective Date
September 06, 2024
Certificate Expiration Date
September 05, 2026
Laboratory Director
LUIS M. FERNANDEZ
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Southeastern Idaho Public Health in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for SOUTHEASTERN IDAHO PUBLIC HEALTH

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750526216, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 1 + 0 + 2 + 1 + 2 + 2 + 2 + 24 = 44

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1750526216.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

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
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Nurse Practitioner (Family)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Home Health
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Hospice Care, Community Based
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Counselor (Professional)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750526216, enumerated as an "organization" on December 11, 2008.

The provider is located at 1901 ALVIN RICKEN DR POCATELLO, ID 83201 and the phone number is (208) 233-9080.

Public Health or Welfare with taxonomy code 251K00000X.