| Organization Name: | PUBLIC HEALTH DISTRICT 1 |
| NPI Number: | 1841212933 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEANNE BOCK (DIRECTOR) |
| Mailing Address: | 114 W Riverside Ave Kellogg |
| State: | ID US |
| Postal Code: | 838372351 |
| Phone Number: | 2087867474 |
| Fax Number: | 2087867109 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |