DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH PARK, INC.

Active Organization

ICF/Individuals with Intellectual Disabilities · POCATELLO, ID

Registration Details

NPI Number
1134340011
Provider Type
Organization
NPI Issued
May 1, 2007 (18.993920274307 yrs)
Last Updated
Aug 22, 2020
License
00259800 (ID)

Practice Information

Address
3875 BANNOCK HWY
POCATELLO, ID, 832044405
Browse ID providers · Browse ZIP 83204
Phone
2082336844

Other ICF/Individuals with Intellectual Disabilities Organizations in POCATELLO, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.