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

IDAHO STATE UNIVERSITY

Active Organization

IDAHO STATE UNIVERSITY is a Health Service Clinic organization located in CHUBBUCK, Idaho. NPI 1457060790 is currently active in the NPPES registry. Verify at CMS.

Health Service Clinic · CHUBBUCK, ID

Registration Details

NPI Number
1457060790
Provider Type
Organization
NPI Issued
Nov 15, 2022 (3.781114092314 yrs)
Last Updated
Jun 14, 2023

Practice Information

Address
4914 YELLOWSTONE AVE STE B
CHUBBUCK, ID, 832022332
Browse ID providers · Browse ZIP 83202
Phone
2082822005
Primary Specialty
Health Service Clinic
261QH0100X
Additional Specialty
Health Service Clinic

Other Health Service Clinic Organizations in CHUBBUCK, 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.