NPI age
9 years
Enumerated 2016-05-24
● Active Type 2 · Organization
Subpart
Idaho State University Department Of Family Medicine
Idaho State University Department Of Family Medicine is 1 of 806 community/behavioral health organizations in Idaho.
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Powell
Authorization Specialist
Last NPPES update
2016-05-24
Source: monthly bulk 2026-05
How this organization compares
Across 806 active community/behavioral health providers in Idaho.
NPI age
9 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
465 Memorial Dr
Pocatello, ID 832014008
Mailing address
1000 N 8th Ave
Pocatello, ID 832015757
Authorized official
Laurie Powell
Authorization Specialist
📞 2082326260
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Leigh Ammon, DMD Dentist NPI 1174747190
- Rylan Anderson, DO Family Medicine NPI 1184317554
- Smita Armstrong, MD Family Medicine NPI 1932893534
- Melanie Athens, DO Family Medicine NPI 1285520601
- Andrew Baker, DO Family Medicine NPI 1902535230
- Trudy Bearden, PA-C Physician Assistant NPI 1639151848
- Bradley Beaufort, DO Family Medicine NPI 1063851434
- Alexander Behnam, DO Family Medicine NPI 1235075813
- Katelyn Bercaw, DO Family Medicine NPI 1013853597
- Andrew Bohnsack, DDS Dentist NPI 1811277742
- Lana Borgholthaus, PA Physician Assistant NPI 1255315974
- Shaylor Bringhurst, MD Family Medicine NPI 1073353454
- Weston Burrup, DO Family Medicine NPI 1154161545
- Chance Christensen, MD Family Medicine NPI 1841784535
- Brandon Comish, MD Family Medicine NPI 1134743628
- Scott Conover, D.O. Family Medicine NPI 1437563673
- Chace Cook, MD Family Medicine NPI 1972498061
- Ryan Cox, DO Family Medicine NPI 1548106024
- Elizabeth Craun, M.S. Psychologist NPI 1639524895
- Cody Cunningham, DO Family Medicine NPI 1659000958
Specialties
-
Community/Behavioral Health PrimaryA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of Health West Inc..
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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