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Organization
SOUTHEASTERN DISTRICT HEALTH DEPARTMENT
Active
Organization
SOUTHEASTERN DISTRICT HEALTH DEPARTMENT
Active
Other names
Southeastern Idaho Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGGIE MANN (DISTRICT DIRECTOR)
(208) 239-5258
Entity
Organization
Contact information
Practice address
1901 ALVIN RICKEN DR, POCATELLO, ID 83201-2727
(208) 233-9080
(208) 478-9297
Mailing address
1901 ALVIN RICKEN DR, POCATELLO, ID 83201-2727
(208) 233-9080
(208) 478-9297
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
12/11/2008
Last updated
08/04/2015
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