OrganizationActive
Carmen Hernandez Radford
NPI 1588038616 · Public Health or Welfare Agency · Idaho Falls, ID
Provider details
- NPI number
- 1588038616
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carmen Radford, Fnp(208) 757-1854
- License
- NP-1660A (ID)
Specialties & taxonomies
Agencies
Practice location
3652 Washington Pkwy
Idaho Falls, ID 83404-7573
Phone: (208) 419-0593
Approximate (ZIP-level) locationGet directions
Mailing address
5451 Thatcher Ave
Idaho Falls, ID 83404-4935
Registry dates
- Enumerated
- 2015-12-01
- Last updated
- 2015-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.