NPIMap

Organization Active NPI

Southwest District Health

  • Public Health or Welfare Agency
  • Caldwell, ID
National Provider Identifier
1760729206
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
D-368 Issued in ID
Legal business name
SOUTHWEST DISTRICT HEALTH
Practice address
13307 Miami LN
Caldwell, ID 83607-4701
Phone
(208) 455-5300
Fax
(208) 454-7722
NPI assigned
Jan 3, 2013
Last updated
Jan 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Mr. Bruce A Krosch
Title
Director
Phone
(208) 455-5315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X D-368 ID Primary

Addresses

Primary practice location

13307 Miami LN
Caldwell, ID 83607-4701

Mailing address

13307 Miami LN
Caldwell, ID 83607-4701
Phone (208) 455-5300

National Provider Directory

National Provider Directory
Tax ID family
Southwest District Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1760729206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13307 MIAMI LN",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836074701",
            "telephone_number": "208-455-5300",
            "fax_number": "208-454-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13307 MIAMI LN",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836074701",
            "telephone_number": "208-455-5300",
            "fax_number": "208-454-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DISTRICT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "KROSCH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-455-5315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ID",
            "license": "D-368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.