OrganizationActive
Southeastern District Health Dept.
NPI 1396919916 · Public Health or Welfare Agency · Pocatello, ID
Provider details
- NPI number
- 1396919916
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tricia Codding, Fachs Director(208) 233-9080
Specialties & taxonomies
Agencies
Practice location
1901 Alvin Ricken Dr
Pocatello, ID 83201-2727
Phone: (208) 233-9080
Fax: (208) 234-7169
Approximate (ZIP-level) locationGet directions
Mailing address
1901 Alvin Ricken Dr
Pocatello, ID 83201-2727
Registry dates
- Enumerated
- 2008-04-15
- Last updated
- 2008-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.