SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
NPI 1780879700
Community/Behavioral Health in Blackfoot, ID
- Organization
- Community/Behavioral Health
About SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
This page provides the complete NPI Profile along with additional information for Southeastern Idaho Developmental Center, Inc., a provider established in Blackfoot, Idaho operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1780879700 assigned on September 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Jim P. Mccoy (Owner Director)
- NPI
- 1780879700 Verify this NPI
- Provider Name
- SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
- Entity Type
- Organization
- Location Address
- 765 W JUDICIAL ST BLACKFOOT, ID 83221
- Location Phone
- (208) 782-1301
- Location Fax
- (208) 782-3627
- Mailing Address
- PO BOX 701 BLACKFOOT, ID 83221
- Mailing Phone
- (208) 782-1301
- Mailing Fax
- (208) 782-3627
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-12-2007
- Last Update Date
- 09-12-2007
- 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.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
BLACKFOOT, ID 83221
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780879700, enumerated as an "organization" on September 12, 2007.
The provider is located at 765 W JUDICIAL ST BLACKFOOT, ID 83221 and the phone number is (208) 782-1301.
Community/Behavioral Health with taxonomy code 251S00000X.
