Idaho State University Department of Family Medicine
Idaho State University Department of Family Medicine is a Community/Behavioral Health Agency in Pocatello, Idaho. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
465 Memorial DrPocatello, ID 83201-4008
Phone: (208) 282-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1780032326 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Health West Inc |
| Authorized official | Laurie Powell — Authorization Specialist · (208) 232-6260 |
| NPI enumerated | May 24, 2016 |
| Last updated in NPPES | May 24, 2016 |
| Mailing address | 1000 N 8th Ave, Pocatello, ID 83201-5757 |
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