1063576445 STATE OF IDAHO
Public Health or Welfare Agency
Active
Basic Information
- Organization Name
- STATE OF IDAHO
- Enumeration Date
- December 20, 2006
- Last Update
- June 30, 2008
- Authorized Official
- MR. EDWARD A. MARUGG R.E.H.S
DIRECTOR
Phone: (208) 233-9080
Practice Location
- Address
- 1901 ALVIN RICKEN DR
POCATELLO, ID 832012727 - Phone
- (208) 233-9080
- Fax
- (208) 478-9297
Mailing Address
- Address
- 1901 ALVIN RICKEN DR
POCATELLO, ID 832012727 - Phone
- (208) 233-9080
- Fax
- (208) 478-9297
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Public Health or Welfare | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002834600 | 05 | ID | N/A |
| 002832700 | 05 | ID | N/A |
| 002470300 | 05 | ID | N/A |
Frequently Asked Questions
What is STATE OF IDAHO's NPI number?
STATE OF IDAHO's NPI number is 1063576445.
Which doctor has NPI number 1063576445?
The doctor with NPI number 1063576445 is STATE OF IDAHO.
What is STATE OF IDAHO's practice address?
STATE OF IDAHO's practice address is 1901 ALVIN RICKEN DR, POCATELLO, ID, 832012727.
Which doctor practices at 1901 ALVIN RICKEN DR, POCATELLO, ID, 832012727?
STATE OF IDAHO practices at 1901 ALVIN RICKEN DR, POCATELLO, ID, 832012727.
What is STATE OF IDAHO's phone number?
STATE OF IDAHO's phone number is (208) 233-9080.
Who is (208) 233-9080?
(208) 233-9080 is the phone number for STATE OF IDAHO.
What is STATE OF IDAHO's specialty?
STATE OF IDAHO's specialty is Public Health or Welfare Agency.
What type of doctor is STATE OF IDAHO?
STATE OF IDAHO is a Public Health or Welfare Agency.
Is STATE OF IDAHO a Public Health or Welfare?
Yes, STATE OF IDAHO is a Public Health or Welfare.
Is STATE OF IDAHO still practicing?
Yes, STATE OF IDAHO is currently practicing.
Is STATE OF IDAHO accepting new patients?
STATE OF IDAHO may be accepting new patients. Please call their office at (208) 233-9080 to inquire about availability.
Is NPI 1063576445 still active?
Yes, NPI 1063576445 is currently active.
Where does STATE OF IDAHO practice?
STATE OF IDAHO practices in POCATELLO, ID.