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 1558535948

Southeastern Idaho Developmental Center, Inc is a Case Management Agency in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
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 (ID)

Record details

NPI number1558535948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jim McCoy — Owner Director · (208) 782-1301
NPI enumeratedApril 16, 2008
Last updated in NPPESApril 16, 2008
Mailing addressPo Box 701, Blackfoot, ID 83221-0701

Other providers in Blackfoot