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

Southern Idaho Diabetes Education Program

Organization Primary Care Clinic/Center · NPI 1154572311

Southern Idaho Diabetes Education Program is a Primary Care Clinic/Center in Shoshone, Idaho. Registered with an NPI since 2008.

In the registry since
2008
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Practice location Address checks out

108 NW Rail St
Shoshone, ID 83352
Phone: (208) 944-4747
Fax: (208) 886-2634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1154572311
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShoshone Family Medical Center
Authorized official Kathryn Pike — Sidep Coordinator · (208) 944-4747
NPI enumeratedOctober 7, 2008
Last updated in NPPESOctober 7, 2008
Mailing address113 S Apple St, Shoshone, ID 83352-5287