Organization
SOUTH CENTRAL PUBLIC HEALTH DISTRICT
Active
Other names
PUBLIC HEALTH DISTRICT V
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE LEBLANC (DISTRICT DIRECTOR)
(208) 737-5902
Entity
Organization
Contact information
Practice address
1020 WASHINGTON ST N, TWIN FALLS, ID 83301-3156
(208) 734-5900
Mailing address
1020 WASHINGTON ST N, TWIN FALLS, ID 83301-3156
(208) 734-5900
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
363A00000X
Physician Assistant
PA-1046
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002848800
—
ID
05
—
002891000
—
ID
05
—
0556324
—
ID
05
—
805321100
—
ID
05
—
805344600
—
ID
05
—
806204600
—
ID
Enumeration date
12/11/2006
Last updated
12/31/2013
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