OrganizationActive
Idaho Dept of Health & Welfare Reg 6 Cm
NPI 1760513618 · Case Management Agency · Pocatello, ID
Provider details
- NPI number
- 1760513618
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ed Axford, Program Manager(208) 234-7900
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
421 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 234-7900
Fax: (208) 236-6328
Street-level locationGet directions
Mailing address
421 Memorial Dr
Pocatello, ID 83201-4008
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.