Organization · Type 2 NPI

Public Health District 1

State or Local Public Health Clinic/Center · Hayden, ID

NPI number 1427616846 Active

Practice location

8500 North Atlas Road
Hayden, ID 83835-8332

Fax (208) 415-5101

Specialties and licenses

Taxonomy	Code	License
Registered Dietitian	133V00000X	None listed
Health Educator	174H00000X	None listed
State or Local Public Health Clinic/Center Primary	261QP0905X	None listed

State or Local Public Health Clinic/Center: Definition to come...

NPI record

NPI: 1427616846
Entity type: Organization (Type 2)
Issued: May 31, 2019
Last updated: Mar 16, 2022
Status: Active
Subpart: Yes of Public Health District 1

Other names

<unavail>
Panhandle Health District 1/ Diabetes Prevention Program · doing business as

Authorized official

Mr. Donald Duffy
Director
(205) 415-5163

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1427616846

Public Health District 1's National Provider Identifier is 1427616846, issued on May 31, 2019. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Hayden, ID. The record was last updated on Mar 16, 2022.