IDAHO STATE UNIVERSITY HEALTH CENTER; NPI #1336214618

Contact Information

IDAHO STATE UNIVERSITY HEALTH CENTER

990 CESAR CHAVEZ AVE
POCATELLO, ID 83209-0001

Phone: 208-282-2330
Fax: 208-282-4036
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for IDAHO STATE UNIVERSITY HEALTH CENTER

NPI #	`1336214618`
LBN Legal business name	IDAHO STATE UNIVERSITY HEALTH CENTER
Authorized official	RONALD SOLBRIG - (DIRECTOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	11/21/2006
Last updated	02/26/2015 - About 11 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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IDAHO STATE UNIVERSITY HEALTH CENTER

Contact Information

Specialty

Student Health

NPI Profile & details for IDAHO STATE UNIVERSITY HEALTH CENTER

Reviews for IDAHO STATE UNIVERSITY HEALTH CENTER