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SOUTH CENTRAL PUBLIC HEALTH DISTRICT NPI 1285794339


NPI Information

NPI: 1285794339
Provider Name: SOUTH CENTRAL PUBLIC HEALTH DISTRICT

Doing Business As: PUBLIC HEALTH DISTRICT V

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 13D0687831

Address:
1020 WASHINGTON ST N
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-5900
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SOUTH CENTRAL PUBLIC HEALTH DISTRICT is a public health or welfare in Twin Falls, ID. SOUTH CENTRAL PUBLIC HEALTH DISTRICT NPI is 1285794339. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Public Health District V.

The provider's business location address is:

1020 WASHINGTON ST N
TWIN FALLS, ID
ZIP 83301-156
Phone: (208) 734-5900

The provider's authorized official is Rene Leblanc .
The authorized official title is District Director and has the following contact phone number (208) 737-5902.

The CLIA number assigned to this NPI record is 13D0687831 - public health laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 12/31/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA-1046IDAHONo
2251K00000XPublic Health or WelfareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11910058MEDICARE ID-TYPE UNSPECIFIEDIDAHO
2002891000MEDICAIDIDAHO
3805321100MEDICAIDIDAHO
4600001302MEDICARE ID-TYPE UNSPECIFIEDIDAHOTRAVELERS MEDICARE
50556324MEDICAIDIDAHO
6805344600MEDICAIDIDAHO
7002848800MEDICAIDIDAHO
8806204600MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.