Organization
PUBLIC HEALTH DISTRICT 1
Active
Other names
Panhandle Health District
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD DUFFY (DIRECTOR)
(208) 415-5163
Entity
Organization
Contact information
Practice address
8500 N ATLAS RD, HAYDEN, ID 83835-8332
(208) 415-5100
(208) 415-5161
Mailing address
8500 N ATLAS ROAD, HAYDEN, ID 83835-7677
(208) 786-7474
(208) 786-7109
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010008200
REGENCE BLUE SHIELD OF ID
ID
01
—
000010018276
REGENCE BLUE SHIELD OF ID
ID
01
—
000010021347
REGENCE BLUE SHIELD OF ID
ID
01
—
000010023565
REGENCE BLUE SHIELD OF ID
DE
01
—
000010024099
REGENCE BLUE SHIELD OF ID
DE
05
—
000270500
—
ID
05
—
002470500
—
ID
05
—
002834500
—
ID
05
—
002843400
—
ID
01
—
DH0017
BLUE CROSS OF IDAHO
ID
01
—
DH116
BLUE CROSS OF IDAHO
ID
01
—
DH124
BLUE CROSS OF IDAHO
ID
01
—
DH132
BLUE CROSS OF IDAHO
ID
01
—
DJ780
BLUE CROSS OF IDAHO
ID
Enumeration date
07/24/2006
Last updated
03/16/2022
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