| Southeastern Idaho Developmental Center, Inc. | |
|
765 W Judicial St Blackfoot ID 83221-2036 | |
| (208) 782-1301 | |
| (208) 782-3627 |
| Full Name | Southeastern Idaho Developmental Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 765 W Judicial St, Blackfoot, Idaho |
| Authorized Official Name and Position | Jim P. Mccoy (OWNER DIRECTOR) |
| Authorized Official Contact | 2087821301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Idaho Developmental Center, Inc. Po Box 701 Blackfoot ID 83221-0701 Ph: (208) 782-1301 | Southeastern Idaho Developmental Center, Inc. 765 W Judicial St Blackfoot ID 83221-2036 Ph: (208) 782-1301 |
| NPI Number | 1780879700 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780879700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
United Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 W Bridge St, Blackfoot, ID 83221 Phone: 208-200-9515 | |
State Hospital South Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 E Alice St, Blackfoot, ID 83221 Phone: 208-785-8506 Fax: 208-785-8518 | |
A To Z Family Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S Broadway St, Blackfoot, ID 83221 Phone: 208-785-1326 Fax: 208-785-1396 | |
Idaho Dept Of Health & Welfare Reg 7 Amh Bf Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 E Alice, Blackfoot, ID 83221 Phone: 208-785-5871 Fax: 208-785-5877 | |
J&m Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 N Broadway St, Blackfoot, ID 83221 Phone: 208-782-1102 | |
J&m Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 N Broadway St, Blackfoot, ID 83221 Phone: 208-782-1102 | |
Blackfoot Medical Clinic Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 |