NPI age
19 years
Enumerated 2007-05-05
● Active Type 2 · Organization
Susan M Sandridge
Susan M Sandridge is 1 of 303 case management organizations in Idaho.
Primary specialty
Case Management
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sandridge
Owner
Last NPPES update
2008-07-23
Source: monthly bulk 2026-05
How this organization compares
Across 303 active case management providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1255 E Whitman
Pocatello, ID 832015748
Mailing address
Po Box 423
Pocatello, ID 832040423
Authorized official
Susan M Sandridge, BFA
Owner
📞 2082334748
Specialties
-
Case Management PrimaryAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806009700 | |
| 05 (ID) | 806009800 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
VISIONS
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.