1437291044 SOUTH PARK, INC.
Case Management Agency
Active
Basic Information
- Organization Name
- SOUTH PARK, INC.
- Enumeration Date
- February 12, 2007
- Last Update
- August 22, 2020
- Authorized Official
- RUSSELL C MCCOY M.A.ED
EXECUTIVE DIRECTOR
Phone: (208) 233-6833
Practice Location
- Address
- 415 S ARTHUR AVE
POCATELLO, ID 832043303 - Phone
- (208) 233-6833
- Fax
- (208) 233-6842
Mailing Address
- Address
- 415 S ARTHUR AVE
POCATELLO, ID 832043303 - Phone
- (208) 233-6833
- Fax
- (208) 233-6842
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Case Management Agency | 251B00000X | Case Management | N/A | ID | No |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 15 | ID | No |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 20 | ID | No |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 43 | ID | No |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00259810 | 05 | ID | N/A |
| 00259800 | 05 | ID | N/A |
| 00259790 | 05 | ID | N/A |
Frequently Asked Questions
What is SOUTH PARK, INC.'s NPI number?
SOUTH PARK, INC.'s NPI number is 1437291044.
Which doctor has NPI number 1437291044?
The doctor with NPI number 1437291044 is SOUTH PARK, INC..
What is SOUTH PARK, INC.'s practice address?
SOUTH PARK, INC.'s practice address is 415 S ARTHUR AVE, POCATELLO, ID, 832043303.
Which doctor practices at 415 S ARTHUR AVE, POCATELLO, ID, 832043303?
SOUTH PARK, INC. practices at 415 S ARTHUR AVE, POCATELLO, ID, 832043303.
What is SOUTH PARK, INC.'s phone number?
SOUTH PARK, INC.'s phone number is (208) 233-6833.
Who is (208) 233-6833?
(208) 233-6833 is the phone number for SOUTH PARK, INC..
What is SOUTH PARK, INC.'s specialty?
SOUTH PARK, INC.'s specialty is Case Management Agency.
What type of doctor is SOUTH PARK, INC.?
SOUTH PARK, INC. is a Case Management Agency.
Is SOUTH PARK, INC. a Case Management?
Yes, SOUTH PARK, INC. is a Case Management.
Is SOUTH PARK, INC. still practicing?
Yes, SOUTH PARK, INC. is currently practicing.
Is SOUTH PARK, INC. accepting new patients?
SOUTH PARK, INC. may be accepting new patients. Please call their office at (208) 233-6833 to inquire about availability.
Is NPI 1437291044 still active?
Yes, NPI 1437291044 is currently active.
Where does SOUTH PARK, INC. practice?
SOUTH PARK, INC. practices in POCATELLO, ID.