State Of Idaho

  • 1790841781 NPI Number
  • |
  • Actived: 17 years ago
  • |
State Of Idaho is a health care provider based in Blackfoot, ID. The NPI Number is 1790841781 and it has been active since 17 years ago. The specialty is Clinical Medical Laboratory, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Clinical Medical Laboratory services, State Of Idaho is an excellent option. We are here to help you get the care you need.

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Overview of State Of Idaho

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 12/28/2006
  • Last updated: 08/22/2020

Primary Scrop of Practice

  • Taxonomy Code: 291U00000X
  • Specialty: Clinical Medical Laboratory
  • License Number: unknow
  • License State: ID

Provider Mailing Address

  • Address: Box 400
    700 East Alice
    Blackfoot, ID 83221
  • Phone: 208-785-8429
  • Fax: 208-785-8439

Provider Practice Location

  • Address: 700 East Alice
    Blackfoot, ID 83221
  • Phone: 208-785-8429
  • Fax: 208-785-8439

Authorized Official

  • Name: Ralph Duane Heckard M.D.
  • Position/Title: Medical Director
  • Telephone Number: 208-785-8429

Scope of Practice

  • Taxonomy Code: 291U00000X
  • Specialty: Clinical Medical Laboratory
  • License Number:
  • License State: ID
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for State Of Idaho?
  • A: The npi number for State Of Idaho is 1790841781.
  • Q: What are State Of Idaho's specialties?
  • A: State Of Idaho's specialties are Clinical Medical Laboratory and different specialities.
  • Q: Where is State Of Idaho business practice location?
  • A: State Of Idaho business practice location is 700 East Alice, Blackfoot, ID 83221.
  • Q: How to contact State Of Idaho?
  • A: You can contact State Of Idaho via 208-785-8429.
  • Q: What is the authorized official for State Of Idaho?
  • A: The authorized office name is Ralph Duane Heckard M.D. with position/title is Medical Director and you can reach the authorized official via phone number 2087858429.
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Content provided by MDNPI.com mainly comes from the Centers for Medicare & Medicaid Services (CMS) published data, and the FOIA-disclosable NPPES health care provider data file.