Organization · Type 2 NPI
Idaho State University Health Center
Student Health Clinic/Center · Pocatello, ID
NPI number
1336214618
Active
Practice location
990 Cesar Chavez Ave
Pocatello, ID 83209-0001
Fax (208) 282-4036
Mailing address
921 S 8th Ave Stop 8311
Pocatello, ID 83209-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1336214618
Idaho State University Health Center's National Provider Identifier is 1336214618, issued on Nov 21, 2006. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Pocatello, ID. The record was last updated on Feb 26, 2015.