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ID DEPT OF HEALTH & WELFARE CSHP (HD7) NPI 1346362084


NPI Information

NPI: 1346362084
Provider Name: ID DEPT OF HEALTH & WELFARE CSHP (HD7)
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
254 E ST
IDAHO FALLS, ID
ZIP 83402
Phone: (208) 522-0310
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ID DEPT OF HEALTH & WELFARE CSHP (HD7) is a pediatrics in Idaho Falls, ID. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ID DEPT OF HEALTH & WELFARE CSHP (HD7) NPI is 1346362084. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

254 E ST
IDAHO FALLS, ID
ZIP 83402-527
Phone: (208) 522-0310
Fax: (208) 525-7063

The provider's authorized official is Paige Fincher .
The authorized official title is Acting Program Manager and has the following contact phone number (208) 334-4935.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.


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
1208000000XPediatricsYes

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
1000010022948OTHERIDAHOBLUE SHIELD
20028236MEDICAIDIDAHO
3HW207OTHERIDAHOBLUE CROSS OF ID

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

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.