Organization
STATE OF IDAHO
Active
Other names
Southeastern District Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD A. MARUGG R.E.H.S. (DIRECTOR)
(208) 233-9080
Entity
Organization
Contact information
Practice address
1901 ALVIN RICKEN DR, POCATELLO, ID 83201-2727
(208) 239-5242
(208) 478-9297
Mailing address
1901 ALVIN RICKEN DR, POCATELLO, ID 83201-2727
(208) 239-5242
(208) 478-9297
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002832700
—
ID
Enumeration date
03/08/2007
Last updated
07/10/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us