SOUTHWEST DISTRICT HEALTH NPI 1598748337

NPI Information

NPI: 1598748337
Provider Name: SOUTHWEST DISTRICT HEALTH

Former Legal Business Name: STATE OF IDAHO

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
13307 MIAMI LN
CALDWELL, ID
ZIP 83607
Phone: (208) 455-5305
Get Directions

SOUTHWEST DISTRICT HEALTH is a public health or welfare in Caldwell, ID. SOUTHWEST DISTRICT HEALTH NPI is 1598748337. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is State Of Idaho.

The provider's business location address is:

13307 MIAMI LN
CALDWELL, ID
ZIP 83607-701
Phone: (208) 455-5305
Fax: (208) 455-5368

The provider's authorized official is Kelly S Boster .
The authorized official title is Office Specialist Ii and has the following contact phone number (208) 455-5348.

The enumeration date for this NPI number is 11/25/2005 and was last updated on 2/2/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	207Q00000X	Family Medicine		No
3	251K00000X	Public Health or Welfare		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	002824100	MEDICAID	HAWAII
2	002828400	MEDICAID	IDAHO
3	002821600	MEDICAID	IDAHO
4	805201700	MEDICAID	IDAHO

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »