P Praxis·MD
● Active Type 2 · Organization

Southeastern Idaho Developmental Center, Inc.

Community/Behavioral Health·Blackfoot, ID· NPI 1780879700 · Enumerated 2007 · 18 years on NPI
Southeastern Idaho Developmental Center, Inc. is 1 of 806 community/behavioral health organizations in Idaho.
NPI age
18 years
Enumerated 2007-09-12
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McCoy
Owner Director
Last NPPES update
2007-09-12
Source: monthly bulk 2026-05

How this organization compares

Across 806 active community/behavioral health providers in Idaho.

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

NPI lifetime · 2007 → 2026

2007-09Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
765 W Judicial St
Blackfoot, ID 832212036
📞 2087821301fax 2087823627
Mailing address
Po Box 701
Blackfoot, ID 832210701
📞 2087821301fax 2087823627

Authorized official

Jim P. McCoy
Owner Director
📞 2087821301

Specialties

  • Community/Behavioral Health Primary
    A 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...
    taxonomy 251S00000X

Practice context

Single-site organization. Only one practice location on file.

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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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