P Praxis·MD
● Active Type 2 · Organization

State Of Idaho

Home Health·Pocatello, ID· NPI 1649277393 · Enumerated 2005 · 20 years on NPI
State Of Idaho is 1 of 259 home health organizations in Idaho.
NPI age
20 years
Enumerated 2005-07-07
Primary specialty
Home Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Marugg
Director
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 259 active home health providers in Idaho.

NPI age
20 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
1901 Alvin Ricken Dr
Pocatello, ID 832012727
📞 2082395210fax 2084786306
Mailing address
1901 Alvin Ricken Dr
Pocatello, ID 832012727
📞 2082395210fax 2084786306

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.

Specialties

  • Home Health Primary
    A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
    ID license #13-7001 taxonomy 251E00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Southeastern District Health Department
    Type code 3 recorded 2006-11-08

Practice context

Multi-provider organization. 5 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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