OrganizationActive
Southeastern Idaho Developmental Center, Inc .
NPI 1568636959 · Case Management Agency · Blackfoot, ID
Southeastern Idaho Developmental Center, Inc . is a Case Management Agency organization in Blackfoot, ID (NPI 1568636959).
Provider details
- NPI number
- 1568636959
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jim Mccoy, Owner Director(208) 782-1301
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
765 W Judicial St
Blackfoot, ID 83221-2036
Phone: (208) 782-1301
Fax: (208) 782-3627
Street-level locationGet directions
Mailing address
Po Box 701
Blackfoot, ID 83221-0701
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2008-04-16
Frequently asked questions
- What is Southeastern Idaho Developmental Center, Inc .'s NPI number?
- Southeastern Idaho Developmental Center, Inc .'s National Provider Identifier (NPI) is 1568636959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Idaho Developmental Center, Inc .?
- Southeastern Idaho Developmental Center, Inc . is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Southeastern Idaho Developmental Center, Inc . located?
- Southeastern Idaho Developmental Center, Inc .'s practice location on file with NPPES is 765 W Judicial St, Blackfoot, ID 83221-2036.
- What is Southeastern Idaho Developmental Center, Inc .'s phone number?
- The practice phone number listed in the NPPES registry for Southeastern Idaho Developmental Center, Inc . is (208) 782-1301.
- Who is the authorized official for Southeastern Idaho Developmental Center, Inc .?
- The authorized official listed on Southeastern Idaho Developmental Center, Inc .'s NPPES record is Jim Mccoy, Owner Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Idaho Developmental Center, Inc .'s NPI active?
- Yes — Southeastern Idaho Developmental Center, Inc .'s NPI (1568636959) is active in the NPPES registry as of the last update on 2008-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.