Southeastern District Health Department

NPI #1023250966 in Pocatello, Idaho

Provider Information

NPI Number
1023250966
Entity Type
Organization
Organization Name
Southeastern District Health Department
Primary Specialty
Public Health or Welfare
Enumeration Date
Mar 24, 2009
Last Updated
Mar 24, 2009

Practice Location

Address
1901 ALVIN RICKEN DR
State
Idaho
ZIP Code
83201-2727
Phone
(208) 233-9080

Authorized Official

Name
KIM L. BARRERA
Title
MEDICA RECORDS EXAMINER
Phone
(208) 239-5278

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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