Active NPI
South Central Public Health District
- Public Health or Welfare Agency
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- SOUTH CENTRAL PUBLIC HEALTH DISTRICT
- Practice address
- 1020 Washington St N
Twin Falls, ID 83301-3156 - Phone
- (208) 734-5900
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rene Leblanc
- Title
- District Director
- Phone
- (208) 737-5902
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Physician Assistant | 363A00000X | PA-1046 | ID |
Addresses
Primary practice location
1020 Washington St N
Twin Falls, ID 83301-3156
Mailing address
1020 Washington St N
Twin Falls, ID 83301-3156
Phone (208) 734-5900
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002848800 | Medicaid | ID | |
| 805344600 | Medicaid | ID | |
| 805321100 | Medicaid | ID | |
| 806204600 | Medicaid | ID | |
| 0556324 | Medicaid | ID | |
| 002891000 | Medicaid | ID |
Other names 1
- PUBLIC HEALTH DISTRICT V
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080229000272 | ID | Part B Supplier - Mass Immunization (Roster Biller Only) | 0042393852 | Practice locations: Bellevue, ID; Gooding, ID; Heyburn, ID; Jerome, ID; Twin Falls, ID |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D0687831 | South Central Public Health District | Certificate of waiver | Dec 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
2311 Park Ave
Ste 4
Burley, ID 83318
Phone (208) 678-8221
255 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4477
485 Roger Ave
Heyburn, ID 83336
Phone (208) 678-8221
951 E Avenue H
Jerome, ID 83338
Phone (208) 324-8838
1218 9th St
Ste 15
Rupert, ID 83350
104 W B St
Shoshone, ID 83352
Phone (208) 934-4477
1020 Washington St N
Twin Falls, ID 83301
Phone (208) 734-5900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Bellevue, ID
- NPI 1194868406
-
- Family Medicine Physician
- Twin Falls, ID
- NPI 1164629887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388448000000",
"number": "1285794339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 WASHINGTON ST N",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013156",
"telephone_number": "208-734-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 WASHINGTON ST N",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013156",
"telephone_number": "208-734-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CENTRAL PUBLIC HEALTH DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2013-12-31",
"status": "A",
"authorized_official_last_name": "LEBLANC",
"authorized_official_first_name": "RENE",
"authorized_official_title_or_position": "DISTRICT DIRECTOR",
"authorized_official_telephone_number": "208-737-5902",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-1046",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002848800",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805344600",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805321100",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806204600",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0556324",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002891000",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PUBLIC HEALTH DISTRICT V",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Twin Falls, ID
- Joseph Robert Solosabal, LMFTI
- Amber J Somers, LPN
- Erica L Sommer
- Nikolai Sopko, M.D., PH.D.
- Mariah Sorenson, LCPC-8331138
- South Idaho Hearing & Audiology
- Southern Idaho Cardiology Associates, P.L.L.C.
- Southern Idaho Examiners
- Southern Idaho Hearing & Audiology LLC
- Southern Idaho Home Health & Staffing
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.