1. Home
  2. Directory
  3. Idaho
  4. Pocatello
  5. Hospice Care Community Based
  6. NPI Profile

SOUTHEASTERN DISTRICT HEALTH DEPARTMENT
NPI 1902995814
Hospice Care, Community Based in Pocatello, ID

Active since October 11, 2006
1901 ALVIN RICKEN DR, POCATELLO, ID 83201(208) 239-5240(208) 478-6306 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern District Health Department NPPES

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

SOUTHEASTERN DISTRICT HEALTH DEPARTMENT (NPI 1902995814) is a healthcare organization registered as a hospice care, community based in Pocatello, Idaho and active in the NPI registry since October 2006. The organization lists Edward A. Marugg, District Director, as its authorized official.

NPPES Registry Identity

NPI1902995814
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSTATE OF IDAHO
Location Address1901 ALVIN RICKEN DRPocatello, ID 83201-2727
Mailing Address1901 Alvin Ricken DrPocatello, ID 83201-2727 · (208) 239-5240 · Fax (208) 478-6306
Phone(208) 239-5240
Fax(208) 478-6306
Organization SubpartNo
Authorized OfficialEdward A. MaruggDistrict Director · (208) 233-9080
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902995814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in ID · 13-1512
1901 ALVIN RICKEN DR, Pocatello, ID 83201
Open in Google Maps ↗

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
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080
STATE OF IDAHO
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080
MS. LINDSEY SCOTT PA-C
Physician Assistant
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080
STATE OF IDAHO
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 239-5242
MRS. VIRGINIA ANN MURPHY NP
Nurse Practitioner (Family)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080
SOUTHEASTERN DISTRICT HEALTH DEPT.
Public Health or Welfare
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080
SHAUNNA RAE KRAMER NP-C
Nurse Practitioner (Family)
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 233-9080
STATE OF IDAHO
Home Health
1901 ALVIN RICKEN DR
POCATELLO, ID 83201
Bannock County (208) 239-5210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Idaho's NPI number?

The NPI number for State Of Idaho is 1902995814. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Southeastern District Health Department.

Where is State Of Idaho located?

State Of Idaho is located at 1901 Alvin Ricken Dr, Pocatello, ID 83201. The listed phone number is (208) 239-5240.

What is State Of Idaho's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

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.