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

SOUTHERN IDAHO DIABETES EDUCATION PROGRAM

Active Organization

SOUTHERN IDAHO DIABETES EDUCATION PROGRAM is a Primary Care Clinic organization located in SHOSHONE, Idaho. NPI 1154572311 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · SHOSHONE, ID

Registration Details

NPI Number
1154572311
Provider Type
Organization
NPI Issued
Oct 7, 2008 (17.889034614593 yrs)
Last Updated
Oct 7, 2008

Practice Information

Address
108 NW RAIL ST
SHOSHONE, ID, 83352
Browse ID providers · Browse ZIP 83352
Phone
2089444747
Fax
2088862634
Primary Specialty
Primary Care Clinic
261QP2300X
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.