IDAHO STATE UNIVERSITY NPI 1982475091

NPI Information

  • NPI: 1982475091
  • Provider Name: IDAHO STATE UNIVERSITY
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: ISU COMMUNITY PSYCHIATRIC CENTER
  • Address: 421 MEMORIAL DR
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 373-1743

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NPI Details

IDAHO STATE UNIVERSITY is a mental health (including community mental health center) clinic center in Pocatello, ID. IDAHO STATE UNIVERSITY NPI is 1982475091. The provider is registered as an organization entity type.
The provider Other Name Is Isu Community Psychiatric Center.

The provider's business location address is:

421 MEMORIAL DR
POCATELLO, ID
ZIP 83201-008
Phone: (208) 373-1743
Fax: (833) 499-1813

The provider's authorized official is Cynthia Lee Rock .
The authorized official title is Clinics Director Of Operations and has the following contact phone number (208) 373-1743.

The enumeration date for this NPI number is 1/9/2024 and was last updated on 2/27/2024.

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 License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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