Organization
PUBLIC HEALTH DISTRICT 1
Active
Parent organization
PUBLIC HEALTH DISTRICT 1
Other names
Panhandle Health District 1/ Diabetes Prevention Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUBLIC HEALTH DISTRICT 1
Authorized official
MR. DONALD DUFFY (DIRECTOR)
(205) 415-5163
Entity
Organization
Contact information
Practice address
8500 NORTH ATLAS ROAD, HAYDEN, ID 83835-8332
(208) 415-5100
(208) 415-5101
Mailing address
8500 NORTH ATLAS ROAD, HAYDEN, ID 83835-8332
(208) 415-5100
(208) 415-5101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
174H00000X
Health Educator
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
03/16/2022
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