IDAHO STATE UNIVERSITY DEPARTMENT OF FAMILY MEDICINE
NPI 1780032326
Community/Behavioral Health in Pocatello, ID
NPI Status: Active since May 24, 2016
Contact Information
465 MEMORIAL DR
POCATELLO, ID
ZIP 83201
Phone: (208) 282-4141
- Organization
- Community/Behavioral Health
- CLIA Number: 13D2150884
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 07-05-2026
About IDAHO STATE UNIVERSITY DEPARTMENT OF FAMILY MEDICINE
This page provides the complete NPI Profile along with additional information for Idaho State University Department Of Family Medicine, a provider established in Pocatello, Idaho operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1780032326 assigned on May 2016. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Laurie Powell (Authorization Specialist)
- NPI
- 1780032326
- Provider Name
- IDAHO STATE UNIVERSITY DEPARTMENT OF FAMILY MEDICINE
- Entity Type
- Organization
- Location Address
- 465 MEMORIAL DR POCATELLO, ID 83201
- Location Phone
- (208) 282-4141
- Mailing Address
- 1000 N 8TH AVE POCATELLO, ID 83201
- Mailing Phone
- (208) 232-6260
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-24-2016
- Last Update Date
- 05-24-2016
- Code Navigator
Location Map
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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
- 13D2150884
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- July 06, 2024
- Certificate Expiration Date
- July 05, 2026
- Laboratory Director
- JOSIAH C. DALHSTROM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Idaho State University Department Of Family Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1780032326, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
POCATELLO, ID 83201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780032326, enumerated as an "organization" on May 24, 2016.
The provider is located at 465 MEMORIAL DR POCATELLO, ID 83201 and the phone number is (208) 282-4141.
Community/Behavioral Health with taxonomy code 251S00000X.
