SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
NPI 1780879700
Community/Behavioral Health in Blackfoot, ID

Q: What is Southeastern Idaho Developmental Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since September 12, 2007

765 W JUDICIAL ST, BLACKFOOT, ID 83221(208) 782-1301(208) 782-3627 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southeastern Idaho Developmental Center, Inc. NPPES

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

SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC. (NPI 1780879700) is a healthcare organization registered as a community/behavioral health in Blackfoot, Idaho and active in the NPI registry since September 2007. The organization lists Jim P. Mccoy, Owner Director, as its authorized official.

NPPES Registry Identity

NPI1780879700

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.

Location Address765 W JUDICIAL STBlackfoot, ID 83221-2036

Mailing AddressPo Box 701Blackfoot, ID 83221-0701 · (208) 782-1301 · Fax (208) 782-3627

Phone(208) 782-1301

Fax(208) 782-3627

Organization SubpartNo

Authorized OfficialJim P. MccoyOwner Director · (208) 782-1301

Enumeration DateSeptember 12, 2007

✔ NPI 1780879700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

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.

765 W JUDICIAL ST, Blackfoot, ID 83221

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Other Providers at the Same Location NPPES 5

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

SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.

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