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
1205056538
Provider Type
Organization
NPI Issued
Apr 27, 2007 (19.005038983574 yrs)
Last Updated
Aug 22, 2020
License
00259810 (ID)

Practice Information

Address
1722 CHURCH HILL DOWNS
POCATELLO, ID, 83201
Browse ID providers · Browse ZIP 83201
Phone
2082372010

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.