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
—
—
Other
Enumeration date
12/11/2008
Last updated
08/04/2015
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