State Hospital South

LBN: State Of Idaho Department Of Health And Welfare
State Hospital South is an health care organization with primary practice located at 700 East Alice Box 400, Blackfoot ID 83221. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. State Of Idaho Department Of Health And Welfare can be contacted via phone (208) 785-1200, or through Sessions, Tracey G. via phone (208) 785-8402.

Contact Information

Primary practice address
700 East Alice Box 400 Blackfoot ID 83221
Phone: (208) 785-1200
Fax: (208) 785-8518
Website:
Map and Directions
Authorized official contact:
Name: Sessions, Tracey G.
Phone: (208) 785-8402

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X #17 Idaho

Profile Details

NPI number 1992789101
LBN Legal business name State Of Idaho Department Of Health And Welfare
DBA Doing business as State Hospital South
Authorized official Sessions, Tracey G.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2005
Last updated May 8th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992789101 NPPES
Idaho Other 00844 BLUE CROSS OF IDAHO
Idaho MEDICAID 002821500 BLUE CROSS OF IDAHO
Idaho Other 20315 BLUE CROSS OF IDAHO

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