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

State of Idaho

Organization Public Health or Welfare Agency · NPI 1063576445

State of Idaho is a Public Health or Welfare Agency in Pocatello, Idaho. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1901 Alvin Ricken Dr
Pocatello, ID 83201-2727
Phone: (208) 233-9080
Fax: (208) 478-9297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health or Welfare Agency (primary) Taxonomy 251K00000X

Record details

NPI number1063576445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Marugg — Director · (208) 233-9080
Other names Southeastern District Health Department
NPI enumeratedDecember 20, 2006
Last updated in NPPESJune 30, 2008
Mailing address1901 Alvin Ricken Dr, Pocatello, ID 83201-2727

Other providers in Pocatello