institution
State Of Idaho
Public Health or Welfare Agency in Pocatello, Idaho
NPI 1235260829

State Of Idaho is a Public Health or Welfare Agency based in Pocatello, ID. State Of Idaho practices in Pocatello, ID. The NPI Number for State Of Idaho is 1235260829 and holds a License No. (Idaho).

The current practice location address for State Of Idaho is 1901 Alvin Ricken Dr, Pocatello, ID and can be reached out via phone at 208-239-5242 and via fax at 208-478-9297.

Location: 1901 Alvin Ricken Dr, Pocatello, ID, 83201-2727
institution
Provider Profile Details
NPI Number
1235260829
Provider Name
State Of Idaho
Credential
Provider Entity Type
Organization
Address
1901 Alvin Ricken Dr, Pocatello, ID, 83201-2727
Phone Number
208-239-5242
Fax Number
208-478-9297
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002470300 05 ID
institution
Provider Business Practice Location Address Details
Address
1901 Alvin Ricken Dr
City
State
Zip
83201-2727
Phone Number
208-239-5242
Fax Number
208-478-9297
person
Provider Business Mailing Address Details
Address
1901 Alvin Ricken Dr
City
State
Zip
83201-2727
Phone Number
208-239-5242
Fax Number
208-478-9297
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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