Southeastern Idaho Developmental Center, Inc.

LBN: Southeastern Idaho Developmental Center, Inc.
Southeastern Idaho Developmental Center, Inc. is an health care organization with primary practice located at 765 W Judicial St , Blackfoot ID 83221-2036. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Southeastern Idaho Developmental Center, Inc. can be contacted via phone (208) 782-1301, or through Mccoy, Jim P. via phone (208) 782-1301.

Contact Information

Primary practice address
765 W Judicial St Blackfoot ID 83221-2036
Phone: (208) 782-1301
Fax: (208) 782-3627
Website:
Map and Directions
Authorized official contact:
Name: Mccoy, Jim P.
Phone: (208) 782-1301

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1780879700
LBN Legal business name Southeastern Idaho Developmental Center, Inc.
DBA Doing business as
Authorized official Mccoy, Jim P.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2007
Last updated Sep 12th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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