NPI age
19 years
Enumerated 2006-12-20
● Active Type 2 · Organization
State Of Idaho
State Of Idaho is 1 of 28 public health or welfare organizations in Idaho.
Primary specialty
Public Health or Welfare
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Marugg
Director
Last NPPES update
2008-06-30
Source: monthly bulk 2026-05
How this organization compares
Across 28 active public health or welfare providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1901 Alvin Ricken Dr
Pocatello, ID 832012727
Mailing address
1901 Alvin Ricken Dr
Pocatello, ID 832012727
Authorized official
Edward A. Marugg, R.E.H.S
Director
📞 2082339080
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Christopher Cole, LCPC Counselor NPI 1982480604
- Shaunna Kramer, NP-C Nurse Practitioner NPI 1457822652
- Christine Mladenka, DNP, WHNP Nurse Practitioner NPI 1740346527
- Virginia Murphy, NP Nurse Practitioner NPI 1285635615
- Lindsey Scott, PA-C Physician Assistant NPI 1154481224
Specialties
-
Public Health or Welfare PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002834600 | |
| 05 (ID) | 002832700 | |
| 05 (ID) | 002470300 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southeastern District Health Department
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.