Eastern Idaho Public Health

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

EASTERN IDAHO PUBLIC HEALTH

Practice address

1250 Hollipark Drive
Idaho Falls, ID 83401

Phone

(208) 522-0310

Fax

(208) 525-7063

NPI assigned

Sep 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Corbett

Title

Director

Phone

(208) 533-3163

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Tax ID family

Eastern Idaho Public Health District6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Eastern Idaho Public Health

  • Public Health or Welfare Agency
  • Idaho Falls, ID
  • NPI 1205036001
  NPD tax ID
• Eastern Idaho Public Health District

  • Public Health or Welfare Agency
  • Idaho Falls, ID
  • NPI 1811104185
  NPD tax ID
• Eastern Idaho Public Health District

  • Public Health or Welfare Agency
  • Idaho Falls, ID
  • NPI 1821205188
  NPD tax ID
• Eastern Idaho Public Health District

  • Public Health or Welfare Agency
  • Idaho Falls, ID
  • NPI 1902013279
  NPD tax ID
• Eastern Idaho Public Health District

  • Public Health Dentistry
  • Idaho Falls, ID
  • NPI 1912114273
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1154426104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 HOLLIPARK DRIVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83401",
            "telephone_number": "208-522-0310",
            "fax_number": "208-525-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 HOLLIPARK DRIVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83401",
            "telephone_number": "208-522-0310",
            "fax_number": "208-525-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN IDAHO PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-533-3163"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Idaho Health Services, Inc.
• Eastern Idaho Intensivist LLC
• Eastern Idaho Laboratory Consultants LLC
• Eastern Idaho Medical Consultants
• Eastern Idaho Neurological Associates PA
• Eastern Idaho Public Health
• Eastern Idaho Public Health District
• Eastern Idaho Public Health District
• Eastern Idaho Public Health District
• Eastern Idaho Public Health District

• State or Local Public Health Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• State or Local Public Health Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.