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

State of Idaho

Organization Home Health Agency · NPI 1649277393

State of Idaho is a Home Health Agency in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005

Practice location Address checks out

1901 Alvin Ricken Dr
Pocatello, ID 83201-2727
Phone: (208) 239-5210
Fax: (208) 478-6306
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 13-7001 (ID)

Record details

NPI number1649277393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Marugg — Director · (208) 233-9080
Other names Southeastern District Health Department
NPI enumeratedJuly 7, 2005
Last updated in NPPESAugust 22, 2020
Mailing address1901 Alvin Ricken Dr, Pocatello, ID 83201-2727

Other providers in Pocatello