Organization
EASTERN IDAHO PUBLIC HEALTH
Active
Other names
Eastern Idaho Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J CORBETT (DIRECTOR)
(208) 522-0310
Entity
Organization
Contact information
Practice address
1250 HOLLIPARK DR, IDAHO FALLS, ID 83401-6217
(208) 522-0310
(208) 525-7063
Mailing address
254 E ST, IDAHO FALLS, ID 83402-3527
(208) 522-0310
(208) 525-7063
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8077552
—
ID
Enumeration date
07/19/2007
Last updated
08/18/2023
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