Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southeastern Idaho Developmental Center, Inc

Organization Case Management Agency · NPI 1235264318

Southeastern Idaho Developmental Center, Inc is a Case Management Agency in Blackfoot, Idaho. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

765 W Judicial St
Blackfoot, ID 83221-2036
Phone: (208) 782-1301
Fax: (208) 782-3627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1235264318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jim McCoy — Owner Director · (208) 782-1301
NPI enumeratedFebruary 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 701, Blackfoot, ID 83221-0701

Other providers in Blackfoot